Senior Population Health Analyst

Full job description

Senior Population Health Analyst

Headquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America Req #1988

Friday, April 19, 2024

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

Responsible for performing analytics and reporting on Medicare, Commercial Exchange, and Medicaid/HARP member populations. Analytical lead on various prospective and retrospective objectives in population health management including operational focus on Risk Adjustment efforts. Lead co-workers on design targeting based upon disparate data sources to identify members with likely risk gaps across. Provide regular reporting of Risk Adjustment programs and identify opportunities and obstacles. Measure capture rate of Hierarchical Condition Categories (HCC)s and diagnosis codes related to Risk Adjustment programs to improve and optimize program targeting for Medicare and commercial exchange populations. Use Clinical Risk Group (CRG) software to target interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. Maintain regulatory agency requirements for CMS and NYS related to supplemental data. Minimal travel required. Performs other duties as assigned.

This position is hybrid to Schenectady or Rochester, in office two days a week/eight times a month.

POSITION QUALIFICATIONS

Minimum Education:

Bachelor's Degree Health Administration, Business, Economics, Health Informatics, or related field.

Minimum Experience:

2 years' experience in a business environment involving the analysis of financial or other large data sets. Masters' Degree in relevant field may be considered in lieu of this experience.

Previous Health Insurance experience required

Required Skills:

• Ability to lead analytical projects and/or teams
• Project Management
• Demonstrated problem-solving and analytical abilities
• Intermediate SQL skills
• Demonstrated ability to work independently with strong attention to detail
• Ability to manage multiple projects and produce results within deliverable timelines
• Demonstrated excellent written and verbal communication skills
• Ability to transform analytical output into simple to understand findings
• Intermediate Word skills, including the ability to create moderately complex documents containing tables and graphs
• Intermediate Microsoft Excel skills, including the ability to create formulas, insert rows, link data, enter and sort data and produce graphs and charts
• Proven ability to analyze, report and provide insight on large sets of data
• Data visualization skills (Tableau, Power BI, etc.)
• Knowledge of MAO-002, MAO-004, RAPS
• Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare programs
• Knowledge of revenue and data issues relating to CMS and NYS encounter submissions
• Knowledge of ICD-10, CPT, HCPCs and Revenue Codes

Preferred Skills:

• R or Python
• Clinical data analytics

About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors , including but not limited to geographic location ; relevant experience, education, and training; and the nature of and demand for the role.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , allowing you to take time off when it suits you best.
• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
• Life insurance and disability coverage to ensure financial security for you and your dependents.
• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about total compensation and benefits will be provided during the hiring process.

MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Medical Management/Clinical
• Pay Type Salary
• Min Hiring Rate $69,383.00
  • Max Hiring Rate $80,000.00