Value-Based Care Analytics Analyst

Blue Cross and Blue Shield of Nebraska; Nebraska; Hybrid; USD 60,000 - 90,000; Full time

Job summary

Blue Cross and Blue Shield of Nebraska is seeking a Value Based Analyst to develop reports, models, and processes supporting value-based care initiatives. The role emphasizes analytics, data presentation, and communication to leaders for informed decision-making.

The ideal candidate will reside near Omaha with a hybrid schedule, allowing one day in office weekly and potential travel to headquarters as needed. A 2+ year healthcare background and Agile experience are desired.

Qualifications

• Bachelor’s degree in computer science, information systems, analytics, business, healthcare administration, or a related field.
• Minimum of 2 years of experience in a healthcare environment, including value-based care support.
• Strong planning, organizational, interpersonal, verbal, and written communication skills.
• Proficiency with Microsoft Office applications.
• Ability to work in a high paced environment, handling multiple responsibilities and projects.
• Ability to build and maintain productive working relationships with others.
• Proactive about requesting enough information to fully understand and meet the business need.
• Previous experience with alternative payment models and concepts.
• Experience with the Agile project delivery methodology.
• Ability to deal with ambiguity and make recommendations with less than complete or conflicting information.

Responsibilities

• Develop reports to track, trend, and analyze metrics necessary to evaluate performance under each value-based contract and across the portfolio of contracts.
• Create, modify, maintain, and enhance existing business processes, contracts, program data, and methodologies to support value-based care initiatives.
• Develop financial models, processes and/or create solutions, using analytic tools, to produce accurate and timely completion of value-based care initiatives.
• Monitor and reconcile value-based care financial payment processes and program performance measurement (finance/cost and utilization).
• Interpret, communicate, and present results to all levels of management in consistent and easy to understand formats to facilitate fact-based decision‑making. Update financial dashboards for all levels of leadership.
• Build and maintain close working relationships with internal stakeholders and key external client contacts (e.g. Providers/VBC Partners, Internal Clinicians, Vendors, BCBS Association, Blues Plans, Auditors).
• Participate in internal and external audits, surveys, process and procedure documentation, system modernization changes and associated activities, regarding value-based care initiatives, to ensure ongoing compliance to standards.
• Maintain knowledge of current business processes, policies, and procedures and evaluate impact to these by changes, pending or actual, in federal or state regulations or BCBS Association mandates.

Skills

Communication skills

Team collaboration

Ambiguity handling

Agile mindset

Time management

Education

Bachelor's degree in computer science / information systems / analytics / business / healthcare administration

Tools

PowerBI

Microsoft Office

Job description

Blue Cross and Blue Shield of Nebraska is seeking a Value Based Analyst to develop reports, models, and processes supporting value-based care initiatives. The role emphasizes analytics, data presentation, and communication to leaders for informed decision-making.

The ideal candidate will reside near Omaha with a hybrid schedule, allowing one day in office weekly and potential travel to headquarters as needed. A 2+ year healthcare background and Agile experience are desired.