Senior BI Engineer – Medicaid Value Based Programs
Job Description:
• Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care
• Analyze utilization data to reconcile provider disputes
• Design and contribute to the development of the provider reporting packages to help providers understand their overall performance
• Contribute to the development of data models to attribute members to providers for new and enhancements to existing value-based programs and to evaluate program effectiveness
• Perform quality assurance checks with peers and lead Business Intelligence associates to ensure development of the program meets business requirements
• Partner with finance team to conduct impact analysis and modeling for new VBP models
• Collaborate with cross functional and matrixed teams to operationalize and roll out new VBP models
• Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data
• Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc.
• Ensure data integrity in program administration for new value-based programs
• Troubleshoot data integrity issues and offer solutions to solve challenges
Requirements:
• Bachelor's degree
• 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience in data analysis
• Advanced in SQL, SAS and other data systems
• Experience with tools such as Power BI and DAX language for creating data visualizations
• Proficiency in verbal and written communication to senior and executive leadership
• Advanced experience working with big and complex data sets within large organizations
• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
• Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access and PowerPoint
• Strong organizational skills and ability to manage multiple or competing priorities
• Proficiency in understanding Healthcare related data
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong attention to detail
Benefits:
• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities
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• Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care
• Analyze utilization data to reconcile provider disputes
• Design and contribute to the development of the provider reporting packages to help providers understand their overall performance
• Contribute to the development of data models to attribute members to providers for new and enhancements to existing value-based programs and to evaluate program effectiveness
• Perform quality assurance checks with peers and lead Business Intelligence associates to ensure development of the program meets business requirements
• Partner with finance team to conduct impact analysis and modeling for new VBP models
• Collaborate with cross functional and matrixed teams to operationalize and roll out new VBP models
• Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data
• Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc.
• Ensure data integrity in program administration for new value-based programs
• Troubleshoot data integrity issues and offer solutions to solve challenges
Requirements:
• Bachelor's degree
• 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience in data analysis
• Advanced in SQL, SAS and other data systems
• Experience with tools such as Power BI and DAX language for creating data visualizations
• Proficiency in verbal and written communication to senior and executive leadership
• Advanced experience working with big and complex data sets within large organizations
• Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction
• Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access and PowerPoint
• Strong organizational skills and ability to manage multiple or competing priorities
• Proficiency in understanding Healthcare related data
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong attention to detail
Benefits:
• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities
Apply tot his job
Apply To this Job