Perform various analysis and interpretation to link business needs and objectives for assigned function
Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups
Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data
Translate data into insights to support corporate leadership, health plan leadership, and provider partners
Identify and analyze user requirements, procedures, and problems to improve existing processes
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
Identify ways to enhance performance management and operational reports related to new business implementation processes
Coordinate with various business units and departments in the development and delivery of training programs
Develop, share, and incorporate organizational best practices into business applications
Diagnose problems and identify opportunities for process redesign and improvement
Formulate and update departmental policies and procedures
Serve as the subject matter expert on the assigned function product to ensure operational performance
Ability to travel
Performs other duties as assigned

Bachelor’s degree in related field or equivalent experience
4+ years of business process analysis (i.e. documenting business process, gathering requirements)
Experience in healthcare industry, preferably with managed care techniques and administrative philosophy
Experience in managed health care experience, preferably with Medicare
Experience working with and leading diverse teams in matrix managed environments
Project management experience preferred
Advanced proficiency in Microsoft Excel and Power BI preferred
Experiencing leveraging SQL, SAS to access enterprise data warehouses preferred
Strong experience in understanding provider performance metrics, including Stars, HBR, Risk Score, Compliance rates, and APV rates preferred

Business Analyst III, Medicare VBC

Key skills