Population Perform Analyst Senior

Overview

The purview of Novant Health’s Payor Intelligence team is the performance strategy for approximately $6B of annual net patient service revenue, as well as upside/downside VBC revenue risk. Payor Intelligence manages a unified payor dataset to develop population-level and program-specific performance insights and creates negotiation analytics and strategy for revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and financial analysis for various existing and emerging payment arrangements including population risk models, episodic contracts and other strategic projects.

Payor Intelligence’s responsibilities are constantly evolving and currently represent key components of Novant Health’s strategic goals. The Senior Analyst, Population Performance reports to the Director, Population Performance, and supports population health analysis to drive operational and clinical improvement.  

This position requires a wide range of expertise and experience in population health and value-based care, as well as a high degree of familiarity with existing and emerging population health management trends.

KEY RESPONSIBILITIES:

• Develop key reporting elements included within the population performance analytical library, depicting performance across six domains: Quality, Total Cost of Care, Network Integrity, Social Determinants of Health, Risk Adjustment, and Attribution.
• Build compelling visualizations, innovative models, and create ad hoc analyses to influence and analyze population performance. Present analyses and models to key stakeholders.
• Support leadership and other key stakeholders as needed to share insights to drive performance improvement.
• Utilize internal data systems and external data to drive analyses. Data sets will include claims and clinical sources. Reconcile and verify data to ensure data integrity and reasonableness.
• Support Novant Health’s awareness of population performance; enable the organization to make data-driven decisions.
• Communicate analysis results to management and non-technical users, making recommendations and providing support for assumptions and methodologies.
• Support development of self-service dashboards and tools to inform population performance opportunity identification.
• Maintain a working knowledge of Medicare, Medicaid, and commercial insurance products and value-based care incentive models.
• Other duties as assigned.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.  #JoinTeamAubergine #NovantHealth. Let Novant Health be the destination for your professional growth

Qualifications

• Education:Bachelors’ degree (or commensurate experience), required. Master’s degree, preferred.   
• Experience:Minimum 3 years of healthcare experience, with a specific focus in provider risk performance, required.
• Additional Skills (required): 
  • Excellent analytical skills and ability to manipulate large data sets from multiple systems using MS Office, SQL, SAS, or other database management tool.
  • Familiarity with current common coding practices including CPT4, ICD10CM, and DRGs as well as current Medicare reimbursement methodologies.
  • Familiarity with the analysis of payor claims data.
  • Demonstrated project and/or process management skills. Ability to manage multiple projects, prioritizing to meet critical deadlines.
  • Knowledge of healthcare finance, managed care, provider incentives, and risk contracting required.
  • Understanding of healthcare expense risk for populations, its components (unit price and frequency), and drivers.
  • Familiarity with provider billing and collections processes.
  • Considerable knowledge of local markets served by Novant Health.
  • Ability to distill data to salient information and recommendations and present findings of all analyses in a logical, concise manner and format.
  • Excellent communication skills and ability to interact with all levels of management at Novant Health required.
  • Ability to manage, prioritize, and take ownership of a variety of projects and demonstrate progress, meet deadlines, and bring items to closure.
  • Maintains flexibility in an environment with changing and competing priorities, at times on a daily basis.
  • Comply with and proactively support departmental and organizational vision, strategic imperatives, and policies and procedures.
  • Ability to work independently; Self-motivated, innovative, shows initiative, creative in overcoming obstacles, can-do spirit, results focused.
  • Communicate effectively with internal and external business partners translating complex ideas into compelling, actionable recommendations.
  • Confident with systems, data, and analysis, and able to identify trends to take advantage of opportunities to drive continual improvement.
  • Understanding of statistical modeling techniques and ability to leverage statistical modeling to identify performance drivers.
  • SQL coding experience.
  • Advanced Excel and PowerPoint proficiency required (PivotTable, VLOOKUP, writing formulas).
  • Strong analytical and problem-solving skills, gained within a customer focused environment.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

Salary : $6 - $0