Associate Provider Data Analyst

Highmark Health

Boise, ID

Full Time

Entry Level

8 days ago

Job Description

About the Role

The Associate Provider Data Analyst works closely with internal customers responsible for the design and operations of enterprise value based reimbursement programs. The role involves understanding key provider reimbursement concepts, delivering analytics and insights to decision-makers, collaborating with business stakeholders to create documentation and develop standard assets, working with technical teams to understand workflows and validate data, performing data modeling, and reporting on program outcomes to improve financial performance.

Key Responsibilities

Develops internal-facing provider reports and analytic tools to highlight key performance indicators for value based reimbursement programs and trend drivers of overall financial and quality performance.
Designs basic scorecards and dashboards using analytic tools to support value based reimbursement arrangements with large strategic partners.
Supports the creation of value based reimbursement programs across the enterprise including initiatives for PCPs, specialists, facilities, post-acute providers, and ancillary providers.
Interprets raw claims, provider, quality, and member data to build data sets for analytic and reporting purposes.
Assists with provider cost savings analyses related to value based reimbursement and understands how return on investment impacts the enterprise and providers.
Reports on financial outcomes of value based provider arrangements and provider incentives to accurately reflect the financial position.
Interacts with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement and competence.
Provides responsive service and understands customer needs.
Performs other duties as assigned or requested.