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PacificSource Health Plans
PacificSource Health Plans
1,001 – 5,000 Employees
HealthcareHealthcare InsuranceInsurance
PacificSource Health Plans is a healthcare insurance organization serving individuals, families, employers, and public-program members. Its coverage portfolio includes individual and family plans, employer-sponsored insurance, Medicare, Medicaid, dental coverage, and administrative services for group plans. The company also supports members through customer service, health-management resources, mental health support, and wellness programs.
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Value-Based Payment Data Analyst II

Support value-based payment, employer, reinsurance, and regulatory analytics for PacificSource Health Plans. Extract and analyze data, build Tableau and Power BI reports, and assist with reconciliation and quality checks.

USUnited StatesVAVirginia
$64,871 – $110,281 / year
RemoteFull-timeMiddleSeniorEnglish RequiredData Analyst
SQLTableau

Description

  • Coordinate data support for business-critical analysis and reporting.
  • Extract, clean, transform, and prepare warehouse and nonstandard data using tools such as T-SQL and SAS.
  • Help build interactive visualizations with Tableau or Microsoft Power BI.
  • Create reports and analytical solutions for RFPs, large employers, ASO clients, and state and federal requests.
  • Analyze value-based payment terms and support monthly reporting and financial reconciliation.
  • Present complex data, analysis, and findings clearly to teams.
  • Create and maintain documentation, training materials, and job aids.
  • Assess how business changes affect risk report specifications.
  • Conduct ad hoc analyses of cost and utilization opportunities.
  • Assist with quality assurance, data validation, unit testing, error checks, and related validation processes.
  • Build health insurance business knowledge and expertise in the assigned analytics domain.
  • Meet department and company performance and attendance expectations.
  • Comply with PacificSource privacy policies and HIPAA confidentiality and security requirements.
  • Carry out other duties as assigned.

Requirements

  • At least three years of experience in health insurance or a related field.
  • Bachelor’s degree in mathematics, computer science, statistics, engineering, health and medical economics, public health, or a similar research-related field.
  • General knowledge of at least one statistical or analytical programming tool, such as R, SAS, or SPSS.
  • General knowledge of Tableau, Power BI, and web-based database tools.
  • Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook.
  • Ability to manage multiple projects and competing deadlines.
  • Ability to manage workload within a team or with minimal direct supervision.
  • Ability to develop solutions to complex problems.
  • Ability to handle confidential information responsibly.
  • Ability to develop, document, and follow department policies and procedures.
  • Familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, LAN, the Alternative Payment Model framework, and the Facets claims processing system is preferred.
  • Working knowledge of medical costs is desired; experience with medical coding and terminology is also desired.
  • A master’s degree or higher is preferred.
  • Ability to read and understand written and spoken English.
  • Ability to communicate clearly and effectively.
  • Ability to stoop and bend, sit or stand for extended periods, perform repetitive motions, and lift or carry files and business materials.

Benefits

  • Work-from-home arrangement.
  • Equal opportunity employment.
  • Ergonomically configured equipment.
  • Travel required less than 5% of the time.

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