Financial Analyst - Product

07 Jun 2024

Vacancy expired!

Value-Based Product Analytics, Professional

Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #968 Thursday, May 5, 2022

    Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

    Professional, Value-Based Product Analytics Status: Full-time, Exempt

    The Professional, Value-Based Product Analytics will help advance innovative network products for MVP Health Care, with guidance from the Senior Leader, Network Product Development. At MVP "network products" means payment models, and this role will develop advanced payment models (APMs, meaning alternatives to fee-for-service payment that drive towards high-value care) by conducting the analysis required to determine the payment structure for these models, such as capitation rates, global budgets, and bundled payments. The role will also help establish evaluation methodologies for network products and for healthcare provider performance against important measures of value and member experience. This role will work with cross-departmental colleagues, especially the Actuary and Enterprise Analytics teams, to support payment model development through analysis of population expenses, service utilization, trends, cost variation, and risk adjustment. This individual will support the selection of relevant clinical, financial, survey, and administrative information to share with and acquire from healthcare provider partners to support the successful management of new financial models.

    As a core member of the team, this individual will provide analytic support for all aspects of Strategic Network Program Management including network product development, financial performance, provider performance, and ad hoc analyses to assist in program activities. The individual will support reporting and operational processes that deliver timely, accurate, and actionable information to internal and external audiences, including reporting and analytics tools specifically for healthcare providers to facilitate their success in advanced payment models. Developing useful reporting and insight provision for healthcare providers to enable better member experiences and achieve high-value care will be focus area. The individual may represent Network on committees and task forces related to strategic MVP initiatives such as actuarial automation, value-based arrangements, and reporting for both internal and external consumers.

    POSITION QUALIFICATIONS

    Minimum Education Bachelor's degree required.

    Minimum Experience
    • Three years experience producing cost and utilization analytics using healthcare claims data, preferably for a health plan, consulting firm, provider group, health system or a software vendor that offers data solutions to health systems or providers.
    • Two years of experience or educational training in statistical stratification, sampling, and cohort driven data modeling and analysis.
    Required Skills
    • Willingness and ability to embrace and express MVP's core values:
    • Be the difference for the customer
    • Be curious
    • Be humble
    • Strong analytical and conceptual skills; able to determine what data can be used to answer questions, analyze and manipulate large complex healthcare-related datasets, identify patterns and anomalies, and leverage data for effective decision-making
    • Ability to support the design of financial arrangements (payment models) based on historic utilization/cost data and data-driven projections regarding the impact of alternative model designs and incentive structures
    • Ability to translate complex data, models, and the conclusions and insights derived from data to senior management, business unit leaders and external stakeholders.
    • Strength in cross-disciplinary collaboration; ability to communicate effectively with colleagues across a range of specialization (actuary, analytics, information technology, operations, account management, clinical expertise, etc.).
    • Demonstrated proficiency in Microsoft Excel; ability to use analytics platforms to explore and retrieve data
    • Knowledge of administrative datasets (e.g., claims, eligibility) reporting/analytic uses (e.g., cost and utilization reporting) and related concepts (e.g., diagnosis/procedure codes, episode groupers, risk adjustment).
    • Must be self-motivated, proactive, able to prioritize multiple assignments with attention to details and deadlines, and able to work well in a fast-paced environment.
    • Maintain confidentiality and adherence to regulatory compliance issues.
    • Proficient in personal presentation, verbal, and written communication; able to effectively communicate the status of initiatives to stakeholders.
    Preferred
    • Knowledge of alternative payment and financial models (i.e., APM programs); specific knowledge of NY, VT and CMS programs is a plus.
    • Actuary experience, training, and/or certification
    • Knowledge of clinical care processes and related data elements (e.g., diagnosis, procedure, laboratory, imaging, pharmacy) across care settings (e.g., acute care, primary care, rehabilitation, long term care, home care).
    • Knowledge of Power BI and TriZetto's Facets applications.
    About MVPMVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

    Please apply and learn more - including how you may become a proud member of our team.

    Other details
    • Job Family Network Management & Development
    • Pay Type Salary
    Apply Now

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    • Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America
    • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
    • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America
    • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America

    • ID: #42547362
    • State: Vermont Vermont 05405 Vermont USA
    • City: Vermont
    • Salary: TBD
    • Job type: Full Time
    • Showed: 2022-06-07
    • Deadline: 2022-08-05
    • Category: Et cetera