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PacificSource Health Plans
PacificSource Health Plans
1.001 – 5.000 Angajați
Asigurare de sănătateAsigurăriAsistență medicală
PacificSource Health Plans este o organizație de asigurări de sănătate care oferă servicii persoanelor, familiilor, angajatorilor și membrilor programelor publice. Portofoliul său de acoperiri include planuri individuale și familiale, asigurări oferite de angajatori, Medicare, Medicaid, acoperire stomatologică și servicii administrative pentru planurile de grup. Compania sprijină, de asemenea, membrii prin servicii pentru clienți, resurse de gestionare a sănătății, suport pentru sănătatea mintală și programe de wellness.
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Locurile de muncă ale companiei

VBP Data Analyst II

Analyze value-based payment data and support reporting at PacificSource Health Plans. The role covers data extraction, visualization, financial reconciliation, and reporting for employers, ASO groups, and regulators.

USStatele Unite ale AmericiiNCCarolina de Nord
64.871 $ – 110.281 $ / an
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăAnalist de date
SQLTableau

Descriere

  • Coordinate data support for critical business analysis and reporting.
  • Extract, clean, transform, and prepare warehouse and nonstandard data using tools such as T-SQL and SAS.
  • Assist in building interactive visualizations with Tableau or Microsoft Power BI.
  • Create reports, analytical solutions, and processes for RFPs, large employers, ASO groups, and state and federal requests.
  • Calculate and analyze value-based payment terms, and assist with monthly reporting and financial reconciliation.
  • Explain complex data, analyses, 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 validation processes.
  • Build knowledge of health insurance and assigned analytics support areas.
  • Work with level 3 and 4 analysts, analytics management, and teams across departments.
  • Comply with privacy policies and HIPAA requirements for protecting confidential health information.
  • Meet department and company performance and attendance standards.
  • Carry out other assigned duties.

Cerințe

  • 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 familiarity with at least one statistical or analytical programming tool, such as R, SAS, or SPSS.
  • General familiarity with 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 departmental policies and procedures.
  • Ability to read and understand written and spoken English.
  • Clear and effective communication skills.
  • Knowledge of business principles, theories, and concepts.
  • Preferred familiarity with Medicare Five-Star, Oregon Quality Incentive Measures, NCQA HEDIS, the Health Care Payment Learning & Action Network, the Alternative Payment Model framework, and the Facets claims processing system.
  • A master’s degree or higher is preferred.

Beneficii

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

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