What are the responsibilities and job description for the Sr. Data Analyst position at TalentBoost (Point32Health)?
Point32Health is currently seeking highly motivated individuals to join the Provider Reimbursement Analytics team in the role of Senior Data Analyst.
Under the direction of the Manager of Provider Analytics, the Senior Data Analyst is responsible for providing analytic solutions that deliver insight on provider financial performance. This role will serve as a key resource to generate and analyze data, package results, and present impacts to internal and external stakeholders. Responsibilities include provider contract support across business lines, regulatory submissions, evaluation of reimbursement strategies, and certain ad-hoc requests. The Senior Data Analyst will work on several projects simultaneously and will serve as a consultant to deliver actionable results, identify areas of opportunity and success, and inform strategic decision making.
Key Responsibilities/Duties – what you will be doing
- Design and generate analytics that focus on medical cost, reimbursement trends, and market position across business lines (Commercial, Medicare/SCO, Public Plans/QHP). Must demonstrate ability to translate complicated and technical solutions into concise and easily understood recommendations
- Utilize in-depth understanding of reimbursement methodologies and trends in managed care finance to independently develop measures of financial performance
- Develop queries, reports, Excel tables and other tools to address ad hoc and routine business needs
- Coordinate with other departments within Point32Health including but not limited to Contracting, Payment Policy, and Actuarial
- Function in the role of analytic steward, providing support to other analysts within and outside of the Corporate Data and Analytics department
- Perform other duties as assigned
Qualifications – what you need to perform the job
- Bachelor’s degree in Health Care Finance, Business, Economics, Analytics, social policy, or related field with 5-7 years of experience; Master’s degree preferred
- Strategic thinker, with strong analytic and problem-solving skills. Advanced proficiency with SAS and SQL programming tools required; statistical analysis skills are not required so much as a general understanding of relational databases and large data structures; advanced Excel skills also required.
- Previous experience in a managed care or healthcare provider setting and working with health insurance claims is recommended; knowledge of healthcare reimbursement methodologies such as OPPS, RBRVS, DRG, CPT/HCPHCs codes, and value based contracting; knowledge of the relationship between payer and provider
- Demonstrated success in gathering and interpreting varied types of data within a larger business context
- Requires excellent interpersonal skills to work with a diversity of individuals from numerous departments and different levels within the organization
- Strong written and oral communication skills; approachable, problem-solving personality
- Ability to work independently, manage multiple priorities and effectively prioritize tasks; essential functions need to be performed on a consistent and regular basis, using good judgment.
- Familiarity with Agile and Waterfall development methodologies
Commitment to Diversity, Equity & Inclusion
Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
COVID Policy
Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.
About the Company
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.
Req ID: R6040
Salary : $0