JacksonvilleFLRecruiter Since 2001
the smart solution for Jacksonville jobs

Network Performance Analytics - Health Business Analyst

Company: Florida Blue
Location: Jacksonville
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: business analyst, financial analytic, financial reporting analyst, forecasting, investment fund, legal, market, refinement, regulation, strategy

Keywords: Florida Blue, Jacksonville , Network Performance Analytics - Health Business Analyst, Healthcare , Jacksonville, Florida

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


LPN
Description: Licensed Practical Nurse LPN Job Ref: 95592 Location: Daytona Beach, FL 32119 Category: LPN/LVN Line of Business: PDN ApplyRefer a FriendBack Our care is greatin a crisisAt Aveanna, the largest pediatric (more...)
Company: Aveanna
Location: Daytona Beach
Posted on: 01/19/2021

Family Practice Physician Job near Daytona Beach, Florida
Description: Family Practice-Without OB opening in Daytona Beach, Florida. This and other physician jobs brought to you by DocCafe.com
Company: HDA MD Staff
Location: Daytona Beach
Posted on: 01/19/2021

CAREGiver
Description: Home Instead--Great Part-Time Jobs for Health Care Students Health Care Students Wanted for CAREGiverSM OpportunitiesCAREGiverWould you like to make a difference in someone's life CAREGivers provide a (more...)
Company: Home Instead
Location: Daytona Beach
Posted on: 01/19/2021


Travel ICU/CCU RN job in Daytona Beach, FL
Description: trustaff is currently seeking an experienced ICU/CCU Registered Nurse for a 13-week travel contract. The Intensive Care Unit ICU RN provides care for patients with life-threatening medical conditions. (more...)
Company: trustaff Travel Nursing
Location: Daytona Beach
Posted on: 01/19/2021

Licensed Practical Nurse
Description: DescriptionLicensed Practical Nurse - AdventHealth Centra CareLocation Address: 1208 DUNLAWTON AVE, Port Orange, FL Top Reasons to work at AdventHealth Centra Care Commitment to whole-person care, giving (more...)
Company: AdventHealth
Location: Port Orange
Posted on: 01/19/2021

Registered Nurse SPCU Full Time Days $12000 Sign On and $3000 Relocation Available
Description: Job Description Description Registered Nurse Surgical Progressive
Company: AdventHealth
Location: Daytona Beach
Posted on: 01/19/2021

Registered Nurse Pediatrics Part Time Nights
Description: Job Description Description Registered Nurse Pediatrics Part Time Nights
Company: AdventHealth
Location: Daytona Beach
Posted on: 01/19/2021

Registered Nurse Clinical Case Manager - Full TIme - Days $10,000Sign On and $3,000 bonus available
Description: Job Description Description Registered Nurse Clinical Case Manager
Company: AdventHealth
Location: Daytona Beach
Posted on: 01/19/2021

Optometrist Position Daytona Beach, FL Join Retail Practice
Description: Full time opportunity to join this well established and growing retail practice. This practice has a primary
Company: The Eye Group
Location: Port Orange
Posted on: 01/19/2021

Travel Nurse Coronary Care Unit RN-CCU
Description: Travel Nurse Coronary Care Unit RN Registered Nurse br CCU Travel Nurse Jobs Assignments br Looking for a CCU travel assignment You are in the right place, the HCEN Network of staffing agencies (more...)
Company: RN Travel HealthCare Jobs
Location: Port Orange
Posted on: 01/19/2021

Log In or Create An Account

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

Jacksonville RSS job feeds