GainesvilleRecruiter Since 2001
the smart solution for Gainesville jobs

Network Performance Analytics - Health Business Analyst

Company: Florida Blue
Location: Gainesville
Posted on: January 15, 2021

Job Description:

Health Business Analyst - Network Performance Analytics

The Health Business Analyst within the Commercial Network Performance Analytics team will provide analytical support for provider negotiations, assessing financial reimbursement models, and various provider network initiatives . Additionally, analytical support may be needed across other key functional areas of the organization including Actuarial, Payment Integrity, Product, and Segment requiring development of analytical approaches, conclusions and effective communication to various targeted audiences.

The ideal candidate will have strong critical thinking skills, experience working with large data sets, ability to draw inferences, an understanding of various provider reimbursement methodologies and a natural curiosity to understand health insurance informatics.

The Skills You Bring:

  • Analyze claims data in conjunction with provider reimbursement methods to determine financial impacts, cost drivers and improvement opportunities in support of provider negotiations. Outputs are also used for forecasting, planning, assessing risk and developing strategic considerations.
  • Monitor and evaluate patterns, costs and trends as they relate to the delivery of health care services for all ancillary provider types including urgent care centers, labs, skilled nursing centers, and dialysis centers.
  • Produce basic spreadsheets, documents and presentations that are well-documented and easy to follow (e.g., Excel, PowerPoint, and Tableau).
  • Modify existing programs and write basic SAS/SQL programs for data extraction.
  • Proactively seeks training and builds knowledge/experience of technical tools, coding languages and data sources.
  • Ability to work in team environment emphasizing collaboration and the development of synergies.
    Required Skills:
    • 2+ years related analytical work experience with a focus in the health or medical industry or equivalent combination of transferable experience and education
    • Master's degree in relevant field can be substituted for work experience requirement
    • Bachelor's degree required
    • Experience with analytics and demonstrated clinical thinking skills
    • Experience writing SQL/SAS code or related code

      Preferred Skills:
      • Bachelor's degree in Business Analytics, Statistics, Data Science, Health Economics or similar program
      • Master's degree in a related field
      • Working knowledge of various provider reimbursement methodologies
      • General knowledge and experience in the healthcare industry

        We are an Equal Opportunity Employer/Protected Veteran/Disabled. Associated topics: consult, financial reporting analyst, forecasting, inspect, investment analytics, law, legal, monitor, regulation, strategy

Keywords: Florida Blue, Gainesville , Network Performance Analytics - Health Business Analyst, Professions , Gainesville, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


CDL A OTR Owner Operator Truck Driver - Bonuses Available
Description: Two Brothers Freight is now hiring CDL A OTR Owner Operator Truck Drivers Type of Freight: Dry van, expedite
Company: Two Brothers Freight
Location: Orlando
Posted on: 01/23/2021

Electrical Engineer Stf - Task Lead / CCA Designer & Integration
Description: Job Description At Lockheed Martin, you'll have an opportunity to create a better world every day. For most individuals, our work challenges belong merely to headlines and tweets. But our employees routinely (more...)
Company: Lockheed Martin
Location: Orlando
Posted on: 01/23/2021

GENERAL WAREHOUSE WORKER
Description: br br Find Your Opportunity br br 1st and 2nd shifts available, Earn 14.55/hr. - 17.55/hr. with opportunity to grow br br Dollar General is NOW HIRING for the following position
Company: Dollar General
Location: Apopka
Posted on: 01/23/2021


Delivery Driver - Weekly Pay
Description: Job DescriptionDeliver with Uber. Earn on your schedule. Work on your schedule. Deliver for a few hours in the mornings, every night, or just on weekends--it's up to you. Earn Good Money. You'll
Company: Uber Eats
Location: Mount Dora
Posted on: 01/23/2021

CDL A Regional Truck Driver
Description: Join the Cowan Family as a regional road driver out of Orlando, FL. You'll enjoy our newly increased pay packages with a variety of schedules and shifts to fit your lifestyle. As a company driver, you'll (more...)
Company: Cowan Systems
Location: Mount Dora
Posted on: 01/23/2021

CDL A Regional Truck Driver
Description: Join the Cowan Family as a regional road driver out of Orlando, FL. You'll enjoy our newly increased pay packages with a variety of schedules and shifts to fit your lifestyle. As a company driver, you'll (more...)
Company: Cowan Systems
Location: Winter Garden
Posted on: 01/23/2021

GENERAL WAREHOUSE WORKER
Description: br br Find Your Opportunity br br 1st and 2nd shifts available, Earn 14.55/hr. - 17.55/hr. with opportunity to grow br br Dollar General is NOW HIRING for the following position
Company: Dollar General
Location: Winter Park
Posted on: 01/23/2021

CDL A Regional Truck Driver - 1+ yr EXP req
Description: Join the Cowan Family as a regional road driver out of Orlando, FL. You'll enjoy our newly increased pay packages with a variety of schedules and shifts to fit your lifestyle. As a company driver, you'll (more...)
Company: Cowan Systems
Location: Tavares
Posted on: 01/23/2021

CDL-A Company Driver - OTR Dry Van - 1 Year EXP Required
Description: INDUSTRY LEADING PAY FOR EXPERIENCED CDL-A OTR TRUCK DRIVERS . VARIANT OFFERS INDUSTRY LEADING PAY AND MANY
Company: CDL Life
Location: Orlando
Posted on: 01/23/2021

CDL-A LTL Regional Truck Drivers
Description: br br br Ambassadors Wanted: Get Home Weekly br Call 866 693-4517 or Apply Online Below br br Ashley Distribution Services LTD, voted one of America s best companies to drive for, is now (more...)
Company: Ashley Distribution
Location: Winter Springs
Posted on: 01/23/2021

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Gainesville RSS job feeds