Job Description

Overview

Join to apply for the Principal Healthcare Data Analyst Remote role at .

Providence Health Plan caregivers are valued and essential. Join our team and thrive in a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Description

The Risk Adjustment Analytics Principal acts as the primary technical resource and business liaison, working directly with both the Risk Adjustment department and the broader Data Analytics department to develop the tools, metrics, and reports needed to advance the organizations Risk Adjustment strategy. Provides project management and requires the use of advanced analytical and reporting skills and process improvement methodologies to design and review evaluation plans, ensure data collection across groups, influence and develop analysts for reporting support, lead team meetings, and mentor junior staff.

In addition to acting as a technical resource, the Risk Adjustment Analytics Principal also acts as a mentor to caregivers across the Data Analytics department. The Principal must maintain an understanding of changing health care trends and Risk Adjustment regulations and the impact of such changes on the Plan. They must remain current on analytic techniques and methodologies, data sources, data available within the Providence Health Plan System and other public and proprietary sources. They should build and maintain relationships with other leaders across the organization including Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and external agencies (the State, CMS).

Essential Functions

• Meets regularly with Risk Adjustment leadership and staff to establish reporting and analytics priorities, secure resources for required work, establish timelines for successful delivery, and execute on agreed-upon goals.
• Provides deep understanding of Risk Adjustment processes, models, methodologies, and expected outcomes and works with analytics team members to produce reporting and analysis to support decision making by leadership.
• Provides advanced analytical support to both Finance and Risk Adjustment leadership related to performance driving expected payments.
• Organizes, prepares, and distributes complex analyses and operational reports utilizing multiple data systems.

Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:

• Washington
• Oregon
• California

Required Qualifications

• Bachelor's Degree in a highly quantitative field (e.g. Statistics, Mathematics, Actuarial Science, Economics, Engineering/Physics, Accounting, or Computer Science), plus a minimum of 10 years of experience in data analysis. Or High School Education or equivalent, plus a minimum of 12 years of experience in data analysis.
• Data analysis experience at a decision-making level.

Preferred Qualifications

• Master's Degree.
• Coursework/Training: Formal training in the techniques of CQI/TQM and statistical process control methodology.
• Healthcare organization/health insurer experience.
• Extensive experience in the techniques of CQI/TQM and statistical process control methodology.

Salary Range by Location

• California: Humboldt Min: $54.40, Max: $85.88
• California: All Northern California - Except Humboldt Min: $61.04, Max: $96.35
• California: All Southern California - Except Bakersfield Min: $54.40, Max: $85.88
• California: Bakersfield Min: $52.19, Max: $82.39
• Oregon: Non-Portland Service Area Min: $48.65, Max: $76.80
• Oregon: Portland Service Area Min: $52.19, Max: $82.39
• Washington: Western - Except Tukwila Min: $54.40, Max: $85.88
• Washington: Southwest - Olympia, Centralia & Below Min: $52.19, Max: $82.39
• Washington: Tukwila Min: $54.40, Max: $85.88
• Washington: Eastern Min: $46.44, Max: $73.31
• Washington: Southeastern Min: $48.65, Max: $76.80

About Providence

At Providence, our strength lies in Our Promise of Know me, care for me, ease my way. We foster an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics, and a full range of health and social services across multiple states.

The base pay range is listed; additional compensation may be available through shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) with employer matching, health benefits, life insurance, disability insurance, time off benefits, voluntary benefits, and well-being resources. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services provides functional and system support services across our family of organizations, supporting our Mission and delivering a robust foundation of services and specialized expertise. Providence is an Equal Opportunity Employer. We are committed to a diverse and inclusive workforce with equal opportunities for advancement.

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