Job Summary

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose:  Inspire health.  Serve with compassion.  Be the difference.

• Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results

• Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement.

• Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools.

• Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies

• Works collaboratively with team members on the execution of projects supporting the strategy.

• Performs other duties as assigned.

Supervisory/Management Responsibility

• This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Education - Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study

• Experience - Five (5) years of experience

In Lieu Of

• CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered.

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models.

• Critical and logical analytical thinking skills

• Aptitude for troubleshooting and identifying the cause

• Ability to establish relationships with internal/external customers

• Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge - Preferred

Work Shift

Location

Facility

Department