Operations Reporting and Performance Analyst, Medicare Clinical Programs

Job Description

Overview

Operations Reporting and Performance Analyst, Medicare Clinical Programs

Telecommute available from Washington, Oregon, Idaho or Utah

Responsibilities & Requirements

This role is responsible for proactively managing and retrospectively tracking, documenting and reporting on Government Programs Provider Incentive department metrics in support of the strategic goals of the division and corporation. Performs technical, analytical, support, process improvement & documentation and leadership functions to help the division and the company meet its goals. Drive continuous improvement efforts across the division.

At Cambia, our values are fundamental to achieving our Cause of transforming the health care industry. They guide our actions and bring diverse perspectives together to improve the health care journey better for those we serve. All eight values are equally important and linked to the others: Empathy, Hope, Courage, Trust, Commitment, Collaboration, Innovation, and Accountability. These values are not just words on paper - we live them every day.

Accountabilities in this role include:

• Provides support to any or all departments of the Government Programs organization.
• Develops and documents methodologies and approaches to new tasks and projects.
• May supervise the gathering and analysis of information.
• Proactively identify issues and concerns to management.
• Applies knowledge of health plan & health care provider operations, health plan data sources, value-based payment, Medicare and structures, and cost containment strategies.
• Identify potential improvement initiatives where process redesign/improvement can substantially improve productivity, operating efficiency, quality, and customer satisfaction.
• Ensure the appropriate identification of root causes through effective use of data analysis tools and techniques.
• Designs and develops reporting.
• Applies knowledge of how various departments within the corporation work together to make the company run effectively.
• Identifies needed reporting, assembles or directs the assembly of reports and distributes such information to people who need it.
• Assembles various data and reports.
• Performs acceptance testing of new reports, programs and models.
• Documents business requirements and methods used to generate work output.
• Drives analytic innovation and best practices within the Operations division.
• Actively identifies and eliminates inefficient or ineffective use of resources.

Professional experience and education required for this role:

• Three years of experience in report preparation, project documentation or policy and procedure writing including ability to organize, analyze and review statistical data and write concise relevant communications.
• Experience working with healthcare providers, Medicare or value-based arrangement preferred.
• Strong leadership skills with proven ability to facilitate cross-functional teams.
• Demonstrated success with project management.
• Proven ability to document business requirements.
• Advanced oral and written communications skills.
• Outstanding analytical skills; ability to analyze complex situations, learn quickly, and synthesize corresponding solutions, options and action plans.
• Knowledge of health plan operations, data sources, data structures.
• Knowledge of data mining tools and methods.
• Demonstrated expertise in Excel.
• Ability to speak professionally before groups.
• Proven ability to design and develop reporting.
• Business sense (health care operations and/or administration).
• Knowledge and understanding of health care operations and administration.
• Proven ability to perform difficult tasks accurately with minimum supervision.
• Bachelor’s Degree in business, mathematics, health IT, health policy, statistics, or related field or 4 years related work experience or equivalent combination of education and related work experience.

Position is also available at the Sr. level DOE

About Us

Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.