Senior Research Analyst - Provider Analytics (Hybrid)

Independence Blue Cross - Philadelphia, PA

Full-time - Mid Level

Philadelphia, PA

Insurance Carriers and Related Activities

About the position

The Senior Research Analyst - Provider Analytics role at Independence involves reporting and analyzing Value Based Programs to support the organization's vision of innovating equitable whole-person health. The position requires developing domain-specific knowledge, identifying opportunities for cost savings and quality improvement, and ensuring effective communication with various teams. The role emphasizes analytical skills, leadership, and the ability to present complex information clearly.

Responsibilities

• Responsible for reporting and analysis of Value Based Programs.
• Develop and maintain domain-specific knowledge of all Value Based Programs, including episode grouper logic for methodologies currently in use as well as those being considered for future state.
• Develop reporting and analysis for Value Based programs, incorporating benchmarks into analysis.
• Identify opportunities for medical cost savings and quality improvement, developing an analytical story to share with providers.
• Identify opportunities for efficiencies in reporting and analysis, interacting effectively with the technical team to move reports to production as appropriate.
• Support the development and maintenance of provider reporting portal including regular quality control of new and existing reports.
• Communicate regularly with the Actuarial team and the Pay for Performance Managers to ensure timely responses to requests for the VBP providers, using the Service Now tool for tracking progress.
• Skilled in presenting to both internal and health system executives, summarizing performance results and analytic findings.
• Provide ad hoc reporting and analysis services.
• Provide guidance and support to other analysts, managing project timelines, monitoring and ensuring data integrity, evaluating results, summarizing findings.
• Ensure sound analytical methods.
• Other duties as required.

Requirements

• Advanced degree in business, health care, or related quantitative area desired; undergraduate degree required.
• Three to five years' experience analyzing large datasets, with demonstrable technical experience and data management skills including data development, data extraction, transformation, QA, and analytic skills.
• Demonstrated skill in advanced programming (R, SQL) with large datasets; working knowledge of visualization tools (e.g. Tableau) required.
• Strong attention to detail to assure quality control in reporting.
• Strong demonstrated skills in carrying out analytic projects, along with writing and speaking skills.
• Demonstrated leadership qualities that include presenting complex information in a way that is easy to understand.