Business Analyst - St. Luke's Health Plan
Overview:
St.
Lukes Health System in Boise, ID is seeking a Business Analyst - St.
Luke's Health Plan to join our Health Plan team.
Unit/Position
Summary:
The Business Analyst serves as a strategic partner to the business segments within the St.
Lukes Health Plan.
In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.
Responsibilities:
The Business Analyst serves as a strategic partner to the business segments within the St.
Lukes Health Plan.
In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.
- Analyzes and interprets health insurance data, including eligibility, premium, medical, and pharmacy claims data.
Subject matter expert on available health insurance data.
A creative problem solver in applying that data to identify, escalate, and resolve operational issues.
- Understands and interprets operational processes and business context to translate technical, clinical, financial, and operational problems into analysis, which yield insights and information to support decision making.
- Expertise with health insurance regulatory programs and requirements, as well as associated data, including HEDIS/quality programs, risk adjustment, and utilization management.
- Performs high value health insurance data analysis, interpretation of key business metrics, and presents insights to business leaders and key stakeholders to aid decision making and operational planning.
- Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions.
- Partners with internal Data & Analytics team to define scope, requirements, data validation, and provide prioritization input on requests and needs.
Collaborates with vendors and other external parties to develop data requirements and ensures appropriate data validation and integrity.
- Works with and contributes to data management and data governance to understand and help define data policies and standards to ensure high quality data and analytics.
- Develops and maintains a high degree of functional, analytical, and technical acumen.
Builds successful partnerships with key internal customers and cross functional teams.
- Responsible for and performs all but the most complex assignments and work requiring independent judgment and decision making.
Serves as a subject matter expert for colleagues in other functions.
- Leads special projects and participates on workgroups and teams, as assigned.
- Completes other duties and responsibilities as assigned.
Qualifications:
- Education:
Bachelors degree or experience in lieu of degree -
Experience:
6 years of relevant experience - Licenses/Certifications:
None Preferred qualifications 2 or more years of experience in a role analyzing health insurance data focused on measuring utilization or financial outcomes Knowledge and experience using SQL to manipulate and analyze health insurance data Advanced proficiency in Excel, with experience using functions like INDEX, MATCH, and SUMPRODUCT Recommended Skills Business Processes Claim Processing Clinical Works Creativity Data Analysis Data Management Estimated Salary: $20 to $28 per hour based on qualifications.
St.
Lukes Health System in Boise, ID is seeking a Business Analyst - St.
Luke's Health Plan to join our Health Plan team.
Unit/Position
Summary:
The Business Analyst serves as a strategic partner to the business segments within the St.
Lukes Health Plan.
In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.
Responsibilities:
The Business Analyst serves as a strategic partner to the business segments within the St.
Lukes Health Plan.
In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.
- Analyzes and interprets health insurance data, including eligibility, premium, medical, and pharmacy claims data.
Subject matter expert on available health insurance data.
A creative problem solver in applying that data to identify, escalate, and resolve operational issues.
- Understands and interprets operational processes and business context to translate technical, clinical, financial, and operational problems into analysis, which yield insights and information to support decision making.
- Expertise with health insurance regulatory programs and requirements, as well as associated data, including HEDIS/quality programs, risk adjustment, and utilization management.
- Performs high value health insurance data analysis, interpretation of key business metrics, and presents insights to business leaders and key stakeholders to aid decision making and operational planning.
- Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions.
- Partners with internal Data & Analytics team to define scope, requirements, data validation, and provide prioritization input on requests and needs.
Collaborates with vendors and other external parties to develop data requirements and ensures appropriate data validation and integrity.
- Works with and contributes to data management and data governance to understand and help define data policies and standards to ensure high quality data and analytics.
- Develops and maintains a high degree of functional, analytical, and technical acumen.
Builds successful partnerships with key internal customers and cross functional teams.
- Responsible for and performs all but the most complex assignments and work requiring independent judgment and decision making.
Serves as a subject matter expert for colleagues in other functions.
- Leads special projects and participates on workgroups and teams, as assigned.
- Completes other duties and responsibilities as assigned.
Qualifications:
- Education:
Bachelors degree or experience in lieu of degree -
Experience:
6 years of relevant experience - Licenses/Certifications:
None Preferred qualifications 2 or more years of experience in a role analyzing health insurance data focused on measuring utilization or financial outcomes Knowledge and experience using SQL to manipulate and analyze health insurance data Advanced proficiency in Excel, with experience using functions like INDEX, MATCH, and SUMPRODUCT Recommended Skills Business Processes Claim Processing Clinical Works Creativity Data Analysis Data Management Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
