Value-Based Contracting Data Analyst
Data analyst supporting Medical Mutual's value-based contracting provider incentive program: builds and maintains data flows, configures and QA-checks the EZ Info analytics tool, sets up capitation contracts in EZ Cap, and helps manage the analytics vendor. Core tools are SAS, SQL, and BI/reporting software. Hybrid role, three days per week on-site in Brooklyn, OH.
- Compensation
- Not disclosed
- Location
- Cleveland, Ohio, United States
- Work setup
- Hybrid
- Seniority
- Not specified
- Employment
- Contract
- Experience
- 3+ years
- Category
- Data analytics
- Posted
Skills
Must have
- Bachelor's degree in healthcare administration, business, information technology or related field (Analyst level)
- 3 years of health care data and/or systems analysis experience with strong preference for managed care experience (Analyst level)
- Knowledge of provider contracting, provider incentive programs, and related regulations (Analyst level)
- Intermediate Microsoft Office (Excel, Word, Access, PowerPoint) skills (Analyst level)
- Intermediate to advanced SAS and/or SQL and query and report writing skills (Analyst level)
- Knowledge of business intelligence and analytical tools (Analyst level)
- Bachelor's degree in healthcare administration, business, information technology or related field (Senior level)
- 5 years of experience as a Value Based Consulting Data Analyst or equivalent health care data/systems analysis experience in managed care, including provider contracting incentive programs (Senior lev
- Strong knowledge of provider contracting, provider incentive programs, and related regulations, with ability to apply to company operations (Senior level)
- Knowledge of insurance concepts, plan administration, and managed care (Senior level)
- Knowledge of payer performance-based contracts (Senior level)
- Advanced Microsoft Office (Excel, Word, Access, PowerPoint) skills (Senior level)
- Advanced SAS and/or SQL and query and report writing skills (Senior level)
- Strong knowledge of business intelligence and analytical tools (Senior level)
Nice to have
- Experience with provider contracting incentive programs (Analyst level)
Full description
Medical Mutual employees must submit their applications through MySource.Note: This is a hybrid role based in Brooklyn, OH, requiring three days per week on-site.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Value-Based Contracting Data AnalystJob Summary:
Working under general supervision, supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ Info) capabilities for value based contracting programs. Assists with managing vendor relationship.
Responsibilities:
- Compiles and maintains documentation of flows, file formats, data sources, and timing for VBC operational processes.
- Assists with managing/directing data flow between VBC vendor and the Company including updating and maintaining VBC specific files that are needed to support EZ Info reporting.
- Analyzes output and conducts quality assurance on EZ Info reports to identify opportunities for improvements.
- Assists with managing the relationship with vendor including identifying additional development needs, scoping, reviewing change orders and associated costs.
- Sets up EZ Info tool configurations – user permissions, structures, report development, automation, and exports and identifies opportunities to enhance existing capabilities.
- Collaborates with capitation payment team and sets up capitation contracts within the pricing and payment tool (EZ Cap).
- Stays current on provider contracting processes, regulations, and best practices. Collaborates with other departments to support value based contracting operations.
- Performs other duties as assigned.
Senior Value-Based Contracting Data AnalystJob Summary:
Working under limited supervision, coordinates the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ Info) capabilities for value based contracting programs. Acts as a primary liaison with vendor. Makes recommendations on process improvement opportunities with respect to performance against Value Based Contracting goals and objectives.
Responsibilities:
- Manages/directs data flow between VBC vendor and the Company including identifying needed data, formats, fields, overseeing the accuracy of data pulls, timing, storge, and documentation.