Associate Provider Data Analyst

Highmark Health - Indianapolis, IN

Full-time

Indianapolis, IN

Insurance Carriers and Related Activities

About the position

The position involves working closely with internal customers to design and operate enterprise value-based reimbursement programs. The incumbent will deliver analytics and insights to decision-makers, perform data modeling, and report on program outcomes to enhance financial performance.

Responsibilities

• Develops internal-facing provider reports/analytic tools to highlight key performance indicators for value based reimbursement programs and trend drivers of overall financial/quality performance.
• Designs basic scorecards and dashboards using analytic tools to support value based reimbursement arrangements with large strategic partners in the market.
• Supports the creation of value based reimbursement programs across the enterprise including initiatives for PCPs, specialists, facilities, post-acute providers, and ancillary providers.
• Interprets raw claims, provider, quality, and member data to build data sets to be used for analytic and reporting purposes.
• Assists with provider cost savings analyses related to value based reimbursement and understands how return on investment impacts the enterprise and the provider.
• Reports on financial outcomes of value based provider arrangements and provider incentives to accurately reflect the financial position.
• Interacts with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement and competence. Provides responsive service and understands customer needs.
• Other duties as assigned or requested.

Requirements

• Relevant analytic work experience
• Insurance or healthcare work experience
• Bachelors degree in Mathematics, Statistics, Finance & Accounting, Actuarial Science, Economics or related field or 6 years of relevant work experience in lieu of a Bachelor's Degree