What are the responsibilities and job description for the VBP Data Analyst 1 position at PacificSource Health Plans?
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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
Provide assistance in administering analytic support related to value based payments, financial modeling for provider contracting, support of large employer RFP, large employer and ASO, state and/or federally mandated reporting and analyses. The role will also support the provider settlement process for a variety of value based payment arrangements; collaborate with level 2, 3 and 4 analysts and analytics management in coordination of projects with multiple departments in supporting contractually required monthly reporting in a timely, accurate and easy to understand format for external provider audiences. Additional tasks may include assisting with components of validating data used in the settlement and payment processes; initiating documentation and processes; and provide support to the VBP team in monthly reporting, annual model building and reconciliation processes.
Essential Responsibilities:
- Assist in providing essential data support and coordination activities for various business critical analysis and reporting needs.
- Perform data extraction to meet project requirements as directed. This would include cleaning, transformation and pre-processing data using software programs such as t-SQL, SAS, etc.
- Support the development of data visualization solutions that allow customer to interact with the data using data visualization software solutions such as Tableau or Microsoft Power BI.
- Develop reports and analytical solutions and processes to support the RFP process, large employer, ASO as well as various state and federal requests with directions.
- Complete entry-level calculations and analysis of value based payment terms including development of reports, running of monthly report processes as well as reporting to support financial reconciliation processes.
- Support presentation of complex data, analysis and findings to teams in a way that is clear and understandable.
- Contribute to and initiate development and maintenance of documentation and training materials including job aids.
- Assist in evaluating impact of business changes on risk reports specifications such as plan, benefit, network, provider configuration and payment and other operational changes in partnership with senior, non-associate level analysts and analytics management.
- Prepare assigned ad hoc analyses related to cost and utilization opportunities regarding RFP, employer groups, ASO groups and other Sales/Marketing requests.
- Assists with quality assurance adherence to ensure accuracy, completeness, and reliability of project-related information data resources and reporting initiatives such as participating in data validation projects and providing feedback on development of unit testing, error checks and validation processes.
- Develop general health insurance business content knowledge as well as specific knowledge related to assigned business areas of analytics support.
Supporting Responsibilities:
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Prior data analytic work experience in healthcare environment preferred, but not required.
Education, Certificates, Licenses: Bachelor's degree in Mathematics, Computer Science, Statistics, Engineering, Health and Medical Economics, Public Health or similar research related field.
Knowledge: General knowledge of business principles, theories and concepts. Ability to manage workload within a team environment and with direct supervision. Ability to deal responsibly with confidential information. General knowledge of in at least one statistical/analytical programming tools such as R, SAS, SPSS. General knowledge of other technical applications such as Tableau, Power BI and web-based database tools. Skilled in Microsoft Office: Word, Excel, PowerPoint and Outlook.
Competencies:
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
Continuous Improvement
Adaptability
Building Trust
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
