What are the responsibilities and job description for the Sr Data Analyst - Value Based Healthcare Analytics position at SCAN Health Plan?
The Job
Support SCAN's value-based partnerships and care delivery efforts with medical groups, independent provider associations (IPAs), hospitals, and integrated delivery systems in this rapidly growing area. Working on a diverse range of projects, leverage clinical and pharmacy claims, demographic, authorizations, and care management data to evaluate financial risk, identify medical economic trends, and assess the performance of clinical programs for quality and financial outcomes. Focus on medical economics, utilization management, care standards variation analysis, key performance indicators and executive reporting. In collaboration with value-based care leaders, insights will directly contribute to the overall strategy and expansion key objectives.
You Will
- Serve as subject matter expert (SME) and thought leader for value-based care / shared risk utilization management analytics to support methodological and business case questions.
- Maintain, enhance, and build models, reports, and dashboards that connect insights to business impacts, and propose actionable strategies to partners and leaders through quick updates and prepared presentations using storytelling and data visualizations.
- Research, evaluate and deploy new tools, frameworks and patterns, including identification of gaps and opportunities for improvement of current care delivery businesses.
- Deliver performance reporting to partners and stakeholders, effectively communicating findings and making recommendations for continuous improvement .
- Maintain knowledge of operations sufficient to identify causative factors, deviations, allowances that may affect reporting findings
- In conjunction with payer strategy / network management, develop financial models to support optimization, negotiation and expansion of value-based care and shared risk arrangements
- Lead and coordinate standard and ad hoc analytics projects through various complex and challenging situations to completion under time-sensitive deadlines, including review and QA of work of other team members
- Ensure continuous improvement in analytics deliverables and insights that ‘break new ground’
- Develop and maintain technical specifications and end-user documentation for assigned projects and analyses
- Gain a strong understanding of SCAN’s contracts with Medical Groups and model analyses to support contract negotiations.
- Interface with SCAN value-based care, medical management, direct care delivery, risk adjustment, finance, network management and other cross functional areas
- Build relationships across the data & analytics team Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies
Your Qualifications
What's in it for you?
Salary : $92,400 - $147,800
