The Senior Health Business Analyst within the Value Based Analytics team will be accountable for leading a diverse range of analytical projects. This role will be focused on Provider Value Based Programs (Alternative Payment Models) including ACO, PCMH, Episode Based Payment (EBP) Bundles, and MLR Shared Savings incentive programs. The Senior Health Business Analyst is relied upon to apply business knowledge to Analytics projects and provide value-added insights to directly impact business outcomes. The ideal candidate will have strong technical skills, great communication skills, experience analyzing and communicating drivers of financial outcomes in the Healthcare business (particularly in the Individual and Small Group ACA market), and a natural curiosity to understand health insurance informatics.
The Skills You Bring:
Act as primary Analyst for assigned projects and proactively identify topics for analysis.
Perform routine financial reconciliations and process payments to Value Based Provider (VBP) groups.
Identify drivers of VBP performance as it pertains to Quality, Access, and Affordability for the attributed population.
Build and analyze performance dashboards for reporting, interpreting, and communicating population-based data for internal and external customers.
Develop Excel-based models and spreadsheets that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations or draw key conclusions to answer key business questions.
Write SAS, SQL or R programs for data extraction and analysis.
Assist other analysts in training and building knowledge/experience of technical tools, coding languages and data sources.
4+ years related analytical work experience with a focus in the health or medical industry or equivalent combination of transferable experience and education
Bachelor's degree required Master's degree or equivalent work experience relevant field can be substituted for 2 years' work experience
Experience with analytics and inferential statistics.
Intermediate level experience writing SQL /SAS/R or related code
Advanced Excel skills (ability to create and build pivot tables, formulas, macro automations, etc.)
Bachelor's degree in Business Analytics, Statistics, Data Science, Health Economics or similar program
Master's degree in a related field
We are an Equal Opportunity Employer/Protected Veteran/Disabled.
Florida Blue is an Equal Opportunity Employer - Protected Veteran/Disabled