Scangroup
Sr Data Analyst - Value Based Healthcare Analytics
Scangroup, Long Beach, California, us, 90899
Description
About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter. The Job Support SCAN's value-based partnerships and care delivery efforts with medical groups, independent provider associations (IPAs), hospitals, and integrated delivery systems in this rapidly growing area. Working on a diverse range of projects, leverage clinical and pharmacy claims, demographic, authorizations, and care management data to evaluate financial risk, identify medical economic trends, and assess the performance of clinical programs for quality and financial outcomes. Focus on medical economics, utilization management, care standards variation analysis, key performance indicators and executive reporting. In collaboration with value-based care leaders, insights will directly contribute to the overall strategy and expansion key objectives. You Will Serve as subject matter expert (SME) and thought leader for value-based care / shared risk utilization management analytics to support methodological and business case questions. Maintain, enhance, and build models, reports, and dashboards that connect insights to business impacts, and propose actionable strategies to partners and leaders through quick updates and prepared presentations using storytelling and data visualizations. Research, evaluate and deploy new tools, frameworks and patterns, including identification of gaps and opportunities for improvement of current care delivery businesses. Deliver performance reporting to partners and stakeholders, effectively communicating findings and making recommendations for continuous improvement . Maintain knowledge of operations sufficient to identify causative factors, deviations, allowances that may affect reporting findings In conjunction with payer strategy/network management, develop financial models to support optimization, negotiation and expansion of value-based care and shared risk arrangements Lead and coordinate standard and ad hoc analytics projects through various complex and challenging situations to completion under time-sensitive deadlines, including review and QA of work of other team members Ensure continuous improvement in analytics deliverables and insights that 'break new ground' Develop and maintain technical specifications and end-user documentation for assigned projects and analyses Gain a strong understanding of SCAN's contracts with Medical Groups and model analyses to support contract negotiations. Interface with SCAN value-based care, medical management, direct care delivery, risk adjustment, finance, network management and other cross functional areas Build relationships across the data & analytics team Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies
Your Qualifications Bachelor's Degree or equivalent experience preferred 3-5 years of experience in managed care analytics and/or healthcare data analysis Track record of successful engagement with partners and stakeholders in value-based healthcare models Direct experience with Medicare Advantage, Medical Economics, or utilization management analytics at a health plan Strong knowledge of Payer-Provider contracts is a plus Proficiency in SQL, Microsoft SSMS, R, Python, Alteryx, and dashboard tools such as Tableau or Power BI; Snowflake and/or Databricks experience preferred Advanced understanding of healthcare informatics and medical economics (i.e. ICD, CPT, Rev codes, PMPM, utilization rates, case mix, attribution methods, risk adjustment, evidence based or quality metrics, risk segmentation and modeling, clinical episode groupers and other advanced clinical informative software to measure cost and quality of care) Excellent communication skills, both oral and written, with the ability to provide formal reports for leadership at all levels Experience navigating and contributing in a matrix environment, with prior corporate experience preferred Technical expertise - Advanced analytical skills Communication - Good communication and interpersonal skills Problem Solving - Basic problem-solving skills
What's in it for you? Base Pay Range: $92,400 to $147,800 annually An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-JB1 #LI-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter. The Job Support SCAN's value-based partnerships and care delivery efforts with medical groups, independent provider associations (IPAs), hospitals, and integrated delivery systems in this rapidly growing area. Working on a diverse range of projects, leverage clinical and pharmacy claims, demographic, authorizations, and care management data to evaluate financial risk, identify medical economic trends, and assess the performance of clinical programs for quality and financial outcomes. Focus on medical economics, utilization management, care standards variation analysis, key performance indicators and executive reporting. In collaboration with value-based care leaders, insights will directly contribute to the overall strategy and expansion key objectives. You Will Serve as subject matter expert (SME) and thought leader for value-based care / shared risk utilization management analytics to support methodological and business case questions. Maintain, enhance, and build models, reports, and dashboards that connect insights to business impacts, and propose actionable strategies to partners and leaders through quick updates and prepared presentations using storytelling and data visualizations. Research, evaluate and deploy new tools, frameworks and patterns, including identification of gaps and opportunities for improvement of current care delivery businesses. Deliver performance reporting to partners and stakeholders, effectively communicating findings and making recommendations for continuous improvement . Maintain knowledge of operations sufficient to identify causative factors, deviations, allowances that may affect reporting findings In conjunction with payer strategy/network management, develop financial models to support optimization, negotiation and expansion of value-based care and shared risk arrangements Lead and coordinate standard and ad hoc analytics projects through various complex and challenging situations to completion under time-sensitive deadlines, including review and QA of work of other team members Ensure continuous improvement in analytics deliverables and insights that 'break new ground' Develop and maintain technical specifications and end-user documentation for assigned projects and analyses Gain a strong understanding of SCAN's contracts with Medical Groups and model analyses to support contract negotiations. Interface with SCAN value-based care, medical management, direct care delivery, risk adjustment, finance, network management and other cross functional areas Build relationships across the data & analytics team Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies
Your Qualifications Bachelor's Degree or equivalent experience preferred 3-5 years of experience in managed care analytics and/or healthcare data analysis Track record of successful engagement with partners and stakeholders in value-based healthcare models Direct experience with Medicare Advantage, Medical Economics, or utilization management analytics at a health plan Strong knowledge of Payer-Provider contracts is a plus Proficiency in SQL, Microsoft SSMS, R, Python, Alteryx, and dashboard tools such as Tableau or Power BI; Snowflake and/or Databricks experience preferred Advanced understanding of healthcare informatics and medical economics (i.e. ICD, CPT, Rev codes, PMPM, utilization rates, case mix, attribution methods, risk adjustment, evidence based or quality metrics, risk segmentation and modeling, clinical episode groupers and other advanced clinical informative software to measure cost and quality of care) Excellent communication skills, both oral and written, with the ability to provide formal reports for leadership at all levels Experience navigating and contributing in a matrix environment, with prior corporate experience preferred Technical expertise - Advanced analytical skills Communication - Good communication and interpersonal skills Problem Solving - Basic problem-solving skills
What's in it for you? Base Pay Range: $92,400 to $147,800 annually An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-JB1 #LI-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)