Description
This is a hybrid role in Cleveland, Ohio.
Responsibilities
Value-Based Contracting Data Analyst
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.
- 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.
Qualifications
Qualifications
This is a hybrid role in Cleveland, Ohio.
Value-Based Contracting Data Analyst
- Bachelor's degree in healthcare administration, business, information technology or related field.
- 3 years of health care data and/or systems analysis experience with strong preference for managed care experience.
- Experience with provider contracting incentive programs preferred.
- Knowledge of provider contracting, provider incentive programs, and related regulations.
- Intermediate Microsoft Office (Excel, Word, Access, and PowerPoint) skills.
- Intermediate to advanced SAS and/or SQL and query and report writing skills.
- Knowledge of business intelligence and analytical tools.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- Top Workplace in Northeast Ohio. Year after year we've received this recognition!
- On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
- On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
- Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
- Business Casual attire
Excellent Benefits and Compensation:
- Competitive compensation plans
- Employee bonus program
- 401(k) with company match and an additional company contribution
- Excellent medical, dental, vision, and disability insurance
An Investment in You:
- Career development programs and classes
- Mentoring and coaching to help you advance
- Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. #CB
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