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Providence Health & Services Healthcare Data Analyst 3 in Portland, Oregon

Description:

Providence St. Joseph Health is calling a Healthcare Data Analyst 3 to our location in Portland, OR. This position will be remote for the remainder of 2021 and may pivot to a hybrid model in 2022 working a combination of in office and remote.

Apply Today! Applicants that meet the minimum required qualifications will receive a message from Modern Hire requesting for you to log in and complete the first stage of the interview process which is an essay / text format interview.

We are seeking a Healthcare Data Analyst 3 to be responsible for:

  • Leading advanced strategic analysis of revenue, medical expense, and population risk assessments and adjustments for multiple geographic regions and lines of business

  • Development of contract proposals and reporting to provide opportunities for meaningful collaboration between Providers and PHP Contract Managers/Executives

  • Designing, implementing, and coordinating complex quality improvement and process management initiatives based on the operational objectives of PHP

  • Providing high-level analysis work along with interpretation (design evaluation plans, coordinate data collection across groups, partner with other analysts for reporting support, etc.).

Major Challenges:

  • Obtain data from varied and disparate information systems.

  • Develop analyses that appropriately address the questions posed.

  • Develop exhibits and presentation to communicate findings.

Primary Responsibilities Include:

  • In consultation with outside actuaries, prepares annual Medicare bid or rate proposal and prepares the documents and analysis required for the annual Statement of Actuarial Opinion.

  • Provides advanced analytic and statistical support for quality, clinical, and operational improvement activities. Also provides advanced analytical support for Finance, Provider Contracting, Product Development, and Medical Coding Administration. Includes effectively summarizing complex information into appropriate charts, tables, and figures in order to convey the meaning of the data to customers and decision-makers.

  • Provides expertise to responding to RFPs from existing and prospective employer groups using innovative analytical skills.

  • Analyzes and develops unit costs for various payment methodologies, including capitation, RBRVS, per diems, DRGs, risk adjusted episodes of care and other payment innovation methods.

  • Accumulates source data and makes calculations to estimate Incurred But Not Reported (IBNR) claims expense and recommends alternative estimates.

  • Prepares reports for provider contract reconciliations and an estimate of the plan's provider incentive liability.

  • Prepares financial analysis for new products, product lines, and new service areas.

Job Specific Knowledge, Skills & Abilities:

  • Requires in-depth knowledge of principles, practices, and theories in own professional discipline

  • Requires project management skills; designs solutions for internal/external clients

  • Considered a resource for others.

  • Advanced computer skills (e.g., Microsoft Office, Microsoft SQL-Server, Tableau). Knowledge of SQL and relational database skills.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in a highly quantitative field (e.g. Statistics, Mathematics, Actuarial Science, Economics, Engineering/Physics, Accounting, or Computer Science), plus a minimum of 7 years of experience in data analysis or a combination of equivalent education / experience

Preferred qualifications for this position include:

  • Master’s degree

  • Healthcare organization / health insurer experience

  • Fellow or Associate in Society of Actuaries (FSA or ASA)

  • Experience with Commercial, Medicare, and Medicaid revenue methodologies

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple, "Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Analytics/Business Intelligence

Location: Oregon-Portland

Other Location(s): Washington, Oregon

Req ID: 325402

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