Associate Provider Data Analyst

Highmark Health - Dover, DE

Full-time - Entry Level

Dover, DE

Insurance Carriers and Related Activities

About the position

The Associate Provider Data Analyst at Highmark Health plays a crucial role in supporting the design and operations of enterprise value-based reimbursement programs. This position involves delivering analytics and insights to key decision-makers, performing data modeling, and collaborating with data management staff to enhance data automation. The analyst will report on program outcomes and trends to improve financial performance, ensuring effective communication of key provider reimbursement concepts.

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
• Bachelor's 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

Benefits

• Health insurance
• 401k
• Paid holidays
• Flexible scheduling
• Professional development opportunities