Value Based Analyst Sr, Corporate, Full Time, Days

Prisma Health; South Carolina; On-site; USD 85,000 - 110,000; Full time

Job summary

Prisma Health is seeking a data-driven professional to lead analytical efforts in value-based care initiatives. You will develop insights across networks and payer models, and clearly visualize opportunities for customers while monitoring results.

The role emphasizes financial modeling, performance analytics, and collaboration with cross-functional teams to support strategic decisions in a healthcare setting.

Qualifications

• Education as listed; degree in one of the specified fields
• 5 years of experience required
• In lieu of experience, CPA, MBA, MHA or related Masters plus 3 years of experience may be considered

Responsibilities

• Leads the analytical delivery of health activities in value-based care arrangements, including networks and alternative payment models.
• Presents and develops analyses performance of value-based populations and communicates opportunities to customers.
• Provides actionable analysis to improve cost, quality and outcomes; recommends metrics and methodology.
• Performs routine audits and analytics for existing programs to validate attribution, quality performance, and financial reconciliations.
• Provides monthly report outs and documents key statistics; builds financial models for contracts and future payment methods.
• Collaborates with team members on project execution and strategy.
• Performs other duties as assigned.

Skills

ROI analysis

Cost/benefit analysis

Cost savings

Data visualization

Stakeholder communication

Healthcare analytics

Problem solving

Education

Bachelor's degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Leads the analytical delivery of health activities in value-based care arrangements, including networks and alternative payment models. Responsible for providing value added insights to directly impact outcomes and recommendations on future applications.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health’s purpose: Inspire health. Serve with compassion. Be the difference.

• Presents and develops analyses performance of value-based populations. Responsible for clearly communicating and visualizing the opportunities/initiatives to customers and monitoring the results

• Provides actionable analysis to improve cost, quality and outcomes. Recommends metrics and methodology to support improvement.

• Performs routine audits and analytics for existing programs to validate attribution, quality performance and financial reconciliations to payer reports and vendor tools.

• Provides monthly report out and document on key statistics and work for populations. Provides financial modelling for contract negotiations and future payment methodologies

• Works collaboratively with team members on the execution of projects supporting the strategy.

• Performs other duties as assigned.

Supervisory/Management Responsibility

• This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Education - Bachelor’s degree in Accounting, Finance, Business, Statistics, Economics, Public Health or related field of study

• Experience - Five (5) years of experience

In Lieu Of

• CPA, MBA, MHA or related Masters degree and three (3) years of experience may be considered.

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Quantitative and analytical abilities with sound experience in analyses including ROI, cost/benefit, cost savings and in value propositions models.

• Critical and logical analytical thinking skills

• Aptitude for troubleshooting and identifying the cause

• Ability to establish relationships with internal/external customers

• Healthcare data analytics, payer reimbursement methodologies, or claims analytics knowledge - Preferred

Work Shift

Day (United States of America)

Location

Prisma Health Corporate Office

Facility

7002 Value-Based Care and Network Services

Department

70028457 Analytics & Intelligence

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.