Value-Based Contracting Data Analyst

Medical Mutual; Cleveland (OH); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

On-site fitness centers

Health Savings Account with matching contribution

Tuition reimbursement

Employee bonus program

Discounts around town and cash rewards for shopping

Job summary

Medical Mutual in Brooklyn, OH is looking for a Value-Based Contracting Data Analyst to support their provider incentive program. The role requires three days on-site work and experience in health care data analysis, particularly in managed care. You will be responsible for managing data flows, vendor relationships, and quality assurance of analytics.

The ideal candidate has a bachelor's degree in a related field with at least three years of relevant experience. Benefits include competitive medical insurance, PTO, and a robust employee and tuition reimbursement program.

Qualifications

• 3 years of health care data and/or systems analysis experience, preferably in managed care.
• Advanced knowledge of provider incentive programs.
• Knowledge of business intelligence and analytical tools.

Responsibilities

• Develop and maintain data flows for value-based contracting programs.
• Manage vendor relationships and ensure accurate data pulls.
• Conduct quality assurance on reports for improvements.

Skills

Healthcare data analysis

SAS

SQL

Intermediate Microsoft Office skills

Provider contracting knowledge

Education

Bachelor’s degree in healthcare administration, business, or information technology

Tools

EZ Info

EZ Cap

Job description

Medical Mutual employees must submit their applications through MySource.

Note: This is a hybrid role based in Brooklyn, OH, requiring three days per week on-site.

Value-Based Contracting Data Analyst

Working under general supervision, supports the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ Info) capabilities for value based contracting programs. Assists with managing vendor relationship.

Responsibilities

• Compiles and maintains documentation of flows, file formats, data sources, and timing for VBC operational processes.
• Assists with managing/directing data flow between VBC vendor and the Company including updating and maintaining VBC specific files that are needed to support EZ Info reporting.
• Analyzes output and conducts quality assurance on EZ Info reports to identify opportunities for improvements.
• Assists with managing the relationship with vendor including identifying additional development needs, scoping, reviewing change orders and associated costs.
• Sets up EZ Info tool configurations – user permissions, structures, report development, automation, and exports and identifies opportunities to enhance existing capabilities.
• Collaborates with capitation payment team and sets up capitation contracts within the pricing and payment tool (EZ Cap).
• Stays current on provider contracting processes, regulations, and best practices. Collaborates with other departments to support value based contracting operations.
• Performs other duties as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, business, information technology or related field.
• 3 years of health care data and/or systems analysis experience with strong preference for managed care experience.
• Experience with provider contracting incentive programs preferred.
• Knowledge of provider contracting, provider incentive programs, and related regulations.
• Intermediate Microsoft Office (Excel, Word, Access, and PowerPoint) skills.
• Intermediate to advanced SAS and/or SQL and query and report writing skills.
• Knowledge of business intelligence and analytical tools.

Senior Value-Based Contracting Data Analyst

Working under limited supervision, coordinates the operational infrastructure for the Value Based Contracting (VBC) provider incentive program. Develops and maintains internal and external data flows to optimize analytics tool (EZ Info) capabilities for value based contracting programs. Acts as a primary liaison with vendor. Makes recommendations on process improvement opportunities with respect to performance against Value Based Contracting goals and objectives.

Responsibilities

• Manages/directs data flow between VBC vendor and the Company including identifying needed data, formats, fields, overseeing the accuracy of data pulls, timing, storge, and documentation.
• Manages the relationship with vendor including identifying additional development needs, scoping, reviewing change orders and associated costs.
• Supervises EZ Info tool configurations–user permissions, structures, report development, automation, and exports and recommends opportunities to enhance existing capabilities.
• Collaborates with capitation payment team and sets up capitation contracts within the pricing and payment tool (EZ Cap).
• Stays current on provider contracting processes, regulations, and best practices. Acts as a primary liaison with other departments to support value based contracting operations.
• Orients, trains, and assists more junior level Analysts.
• Performs other duties as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, business, information technology or related field.
• 5 years of experience as a Value Based Consulting Data Analyst or equivalent health care data and/or systems analysis experience in managed care, which includes provider contracting incentive programs.
• Strong knowledge of provider contracting, provider incentive programs, and related regulations, and the ability to apply to company operations.
• Knowledge of insurance concepts, plan administration, and managed care.
• Knowledge of payer performance-based contract.
• Advanced Microsoft Office (Excel, Word, Access, and PowerPoint) skills.
• Advanced SAS and/or SQL and query and report writing skills.
• Strong knowledge of business intelligence and analytical tools.

A Great Place To Work

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits And Compensation

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self‑help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment In You

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

We maintain a drug‑free workplace and perform pre‑employment substance abuse and nicotine testing.