Capital Blue Cross

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital, you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.

Medical Value Analyst II

AnalystAnalystFull TimeRemoteTeam 1,001-5,000Since 1938H1B SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

31 days ago

Salary

$55.1K - $103.8K / year

Bachelor Degree2 yrs expExperience acceptedEnglishTableau

Job Description

• Analyze data to assist in the design of our Value Based Programs (VBP) - including accountable care arrangements, medical neighborhoods, and other value-based Initiatives. • Work with senior business analyst to develop analytic and/or report requirements that support their ability to make informed decisions regarding strategy initiatives/objectives, and/or appropriate tactical level actions. • Work within the Network Analytics and Pricing (NAP) Unit to help identify, research, and resolve operational and other business issues relating to the value-based programs and initiatives. • Intake queries from physician practices related to reports and process flows associated with VBP and initiatives (i.e., provide first line of support), refine requirements and coordinate responses from informatics and reporting resources. • In collaboration with informatics and reporting functional areas and information technology experts, assist in establishing self-service tool requirements that allow for the efficient production of reports and analyses. • Develop an understanding of various company information assets to leverage for use in the VBP activities. • Research and understand industry best practices in payment reform and accountable care organizations pilots/initiatives that are being undertaken by other health plans.

Job Requirements

  • Minimum 2 years’ experience working with data analytics tools such as SAS, Tableau and/or Power BI
  • Familiar or experienced in healthcare systems that are peripheral to Facets or other Operational Support (OS) support system configuration
  • Prefer a bachelor’s degree in one of the following: business administration, health planning and administration, information systems, computer science; or in lieu of degree minimum 2-3 years of related experience.

Benefits

  • Medical, Dental & Vision coverage
  • Retirement Plan
  • Generous time off including Paid Time Off, Holidays, and Volunteer time off
  • Incentive Plan
  • Tuition Reimbursement

Related Categories

Related Job Pages

More Analyst Jobs

Healthcare Fraud Investigator I

Orchard

Our mission is to make home buying stress-free, fair, and simple. With Orchard, your home sale never holds you back.

Analyst31 days ago
Full TimeRemoteTeam 501-1,000Since 2017H1B Sponsor

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing docume...

United States
Analyst31 days ago
Full TimeRemoteTeam 501-1,000Since 2011H1B No Sponsor

Accreditation Analyst responsible for maintaining specialty pharmacy accreditations

United States

Board Certified Behavior Analyst, BCBA – Evening Coverage

The Treetop ABA

Autism therapy provider now servicing Georgia, Arizona, New Mexico, Colorado & Oklahoma w/ home and clinic services.

Analyst31 days ago
Full TimeRemoteTeam 51-200Since 2020

BCBA providing remote clinical oversight and support for Georgia in-home services

United States
$85K - $100K / year

Analyst, Network Contracting

Navitus Health Solutions

We are committed to helping humans by making medications more affordable for the people who need them.

Analyst31 days ago
Full TimeRemoteTeam 1,001-5,000Since 2003H1B No Sponsor

Navitus Health Solutions is seeking a Network Contracting Analyst to join our team! The Analyst, Network Contracting will be responsible for the financial management of retail, specialty, and mail order pharmacy contracting, issue management, and reporting, in support of the netw...

SQLExcelFinancial ModelingData AnalysisContract AnalysisHealthcare AnalyticsPBMPharmacy Industry KnowledgeDatabase ManagementReporting
United States
$52.7K - $62.7K / year