VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Provider Performance Analyst to join our team!
VIVA HEALTH is the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team!
The Provider Performance Analyst is responsible for applying advanced analytical and technical skills to provide reporting and analytics as well as assisting in efforts to improve the operational success of the organizations' Connect 4 Quality (C4Q) performance. This role uses a variety of data sources to determine performance across current and emerging Star/HEDIS measures, identifies insights and opportunities for performance improvements, and shares these findings with stakeholders to drive continuous improvement. This position will assist with the preparation of materials addressing C4Q performance for internal and external meetings as directed. This position supports analytics for additional corporate initiatives related to C4Q performance including but not limited to provider incentives, Star/HEDIS measures, and population health management. This individual will be responsible for working both independently and collaboratively on a variety of tasks and be a key contributor to the C4Q team. This position will have some work-from-home opportunities.
REQUIRED:
Bachelor's degree in Information Systems, Health Informatics, Business Analytics, Mathematics, Healthcare Management, Health Services, or another related field
5+ years' experience conducting data analytics using tools such as SQL, SAS, Tableau, etc.
Highly proficient in Microsoft Office Excel; experience creating complex formulas, using conditional formatting, and creating Pivot Tables
Proficient in Microsoft Office Word, PowerPoint, and Tableau
Working knowledge of SQL, SAS, Crystal, or similar query or data manipulation tools
Ability to manage multiple projects or assignments simultaneously within expected time constraints and with minimal supervision
Experience presenting data or reporting used to inform meaningful decision-making
Experience making day-to-day decisions using sound judgment with minimal guidance
Ability to interpret detailed, written technical specifications and apply them to business operations
Demonstrated ability to learn and utilize new complex computer software and applications
Strong diagnostic skills to troubleshoot and resolve data and reporting technical issues
Experience working with and generating insights from large data sets
Good oral, written, and interpersonal communication skills
High level of integrity and quality of performed work
PREFERRED:
Master's degree in a related field
Experience in healthcare analytics working with standard healthcare quality measures
Experience with analytics using advanced statistical methodologies
Six Sigma Black Belt or greater
Knowledge of national standard healthcare quality metrics such as CMS Star Ratings, CMS Core Measures, HEDIS, Risk Adjustment, Medical Coding, etc.
Knowledge of Medicare Advantage, Health Maintenance Organizations, and/or other Health Insurance operations
Capability to independently identify and evaluate opportunities for improvement related to Key Performance Indicators
Demonstrated knowledge of statistical analysis techniques as well as data visualization practices
Knowledge of data organization principles and techniques (ex: data tables databases, data storage and retrieval)
Highly Proficient Tableau knowledge and experience
Intermediate SQL knowledge and experience
Click Here to learn more about how VIVA HEALTH is building a culture where diverse voices, backgrounds, and perspectives are welcomed and celebrated!
**If you are interested and meet the requirements for this position, please apply at www.vivahealth.com/careers click apply, and scroll to the opportunity for further instructions.