Job Opportunities API

Inspire health. Serve with compassion. Be the difference. Job Summary Leads the analytical delivery of health activities in value-based care arrangements, including networks and alternative payment models. Responsible for providing value added insights to directly impact outcomes and recommendations on future applications. Essential Functions • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose:  Inspire health.  Serve with compassion.  Be the difference. • Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results • Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement. • Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools. • Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies • Works collaboratively with team members on the execution of projects supporting the strategy. • Performs other duties as assigned. Supervisory/Management Responsibility • This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements • Education - Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study • Experience - Five (5) years of experience In Lieu Of • CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered. Required Certifications, Registrations, Licenses • NA Knowledge, Skills and Abilities • Quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models. • Critical and logical analytical thinking skills • Aptitude for troubleshooting and identifying the cause • Ability to establish relationships with internal/external customers • Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge - Preferred Work Shift Day (United States of America) Location Prisma Health Corporate Office Facility 7002 Value-Based Care and Network Services Department 70028457 Analytics & Intelligence Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.