Sr. Financial Analyst- Alternative Payment Models at Bon Secours Health System in Remote
Sr. Financial Analyst- Alternative Payment Models, leads reporting and analytics for Bon Secours Mercy Health Value Based Programs (Alternative Payment Models) including Accountable Care Organization (ACO), Patient-Centered Medical Home (PCMH), Episode Based Payment (EBP) Bundles and Medical Loss Ratio (MLR) Shared Risk incentive programs for governmental programs and various managed care programs. ESSENTIAL JOB FUNCTIONS Collects, aggregates, and analyzes data from multiple internal and external sources. Drives insights into business and market performance around alternative payment models. Produces clear and actionable reports that identify key performance indicators, areas of opportunity and risk, root cause sources, and business impact. Uses analytical skills and metrics to improve processes for business decision-making. Participates in complex projects and initiatives, requiring cross-functional coordination impacting overall business strategy and outcomes. Uses population health tools, electronic health record, claims and eligibility and attribution data and other reporting systems and sources to provide clinical, financial, utilization, and claims related reporting and analytics. Develops trend analysis reports that monitor key performance indicators and compares them to internal and external benchmarks; uses this data to assist leadership in decision-making, planning and implementing performance improvement strategies. In collaboration with key stakeholders, Value Based contracting lead, IT, program management leads, etc., designs and maintains dashboards on utilization, financial information, outcomes, population health management measures, and other metrics. Obtains report/data to track and analyze financial and program performance under Value Based arrangements, bundled payment and shared savings program methodologies. The analytical results will be shared and reviewed with key stakeholders. Extensive use of Cognos, SQL, Microsoft Access and Excel, Epic BI and reporting tools Build and analyze performance dashboards for reporting, interpreting and communicating population-based data for internal and external stakeholders. Integrates BSMH value based program performance results into overall system value based contract reporting. Perform routine audits and analytics for existing value-based programs to validate attribution, quality performance and financial reconciliations. Providing insights on performance and audit results to leadership. Provides analytics on expected revenue changes for budget and long range planning. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. LICENSING/CERTIFICATION None EDUCATION Bachelor's degree in business, statistics, healthcare management or related degree (required) Master's degree in business, statistics, health care management or related degree (preferred) WORK EXPERIENCE 5 years of experience in data analytics, business intelligence, reporting, informatics or related experience. (required) Experience with Structured Query Language (SQL), Tableau or Power BI skills (required) Working knowledge of Alternative Payment Models, including but not limited to concepts such as risk adjustment, member-to-provider attribution methodologies, episodic groupers, and the ACA. (preferred)
Salary Range:
$80K -- $100K
Minimum Qualification
Corporate FinanceEstimated Salary: $20 to $28 per hour based on qualifications.
Salary Range:
$80K -- $100K
Minimum Qualification
Corporate FinanceEstimated Salary: $20 to $28 per hour based on qualifications.
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