Senior BI Engineer – Medicaid Value Based Programs

Job Description: • Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care • Analyze utilization data to reconcile provider disputes • Design and contribute to the development of the provider reporting packages to help providers understand their overall performance • Contribute to the development of data models to attribute members to providers for new and enhancements to existing value-based programs and to evaluate program effectiveness • Perform quality assurance checks with peers and lead Business Intelligence associates to ensure development of the program meets business requirements • Partner with finance team to conduct impact analysis and modeling for new VBP models • Collaborate with cross functional and matrixed teams to operationalize and roll out new VBP models • Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data • Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. • Ensure data integrity in program administration for new value-based programs • Troubleshoot data integrity issues and offer solutions to solve challenges Requirements: • Bachelor's degree • 5 or more years of technical experience in data analysis OR Master's degree and 3 or more years of experience in data analysis • Advanced in SQL, SAS and other data systems • Experience with tools such as Power BI and DAX language for creating data visualizations • Proficiency in verbal and written communication to senior and executive leadership • Advanced experience working with big and complex data sets within large organizations • Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction • Comprehensive knowledge of Microsoft Office Applications including Word, Excel, Access and PowerPoint • Strong organizational skills and ability to manage multiple or competing priorities • Proficiency in understanding Healthcare related data • Must be passionate about contributing to an organization focused on continuously improving consumer experiences • Strong attention to detail Benefits: • Health benefits effective day 1 • Paid time off, holidays, volunteer time and jury duty pay • Recognition pay • 401(k) retirement savings plan with employer match • Tuition assistance • Scholarships for eligible dependents • Parental and caregiver leave • Employee charity matching program • Network Resource Groups (NRGs) • Career development opportunities