Sign In
 [New User? Sign Up]
Mobile Version

Analyst - Risk Adjustment/STARS - (9078)

Universal Health Services


Location:
RENO, NV
Date:
01/19/2018
2018-01-192018-02-17
Job Code:
9078
Universal Health Services
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

Deltek Talent Management - Analyst - Risk Adjustment/STARS - (9078)

Job Details


Analyst - Risk Adjustment/STARS - (9078)

Facility Name
Prominence Health Plan
Location
RENO, NV 89502 US (Primary)
Career Area
Professional
Category
Other
Job Description

 

Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiaries—acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS’s business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS’s well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune’s Most Admired Companies. UHS’s Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care. 

Prominence Health Plan, established in Reno in 1993 as St. Mary’s Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies. 

In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator.

We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization.

 

Job Summary:  The Analyst’s main focus will be providing analytical expertise to Medicare Risk Adjustment and Stars Ratings and support quality improvement initiatives.

This position will be responsible for identifying and quantifying key drivers for the Risk Adjustment and Stars programs, investigating areas of opportunity, evaluating effectiveness and making recommendations. The incumbent will be relied upon to apply business knowledge to Analytics projects and provide value-added insights to impact business outcomes.  The Analyst will work cooperatively with various internal Prominence departments and will interact with peers at UHS facilities and third party vendors.

The Analyst is expected to exhibit independent decision-making and critical thinking skills. The application of sophisticated analytical capabilities and tools is required. The incumbent must be comfortable to work with tight deadlines, minimal direction, and shifting priorities.

The Analyst’s role will be extracting data from multiple data sources, analyzing and reporting. This will require the ability to interpret the internal customer’s needs or situation and create an applicable solution. The Analyst will work across multiple business units and will be tasked with duties which bridge the gap between Information Technology and business objectives, by partnering with various stakeholders to develop requested data and reports. This position will also be responsible for providing analytics, recommendations and business support.

Job Requirements

Regulatory Requirements:

  • Bachelor’s degree in Information Management, Health Economics/Analytics/Statistics or related field
  •  3-5 years of Health plan or Healthcare experience

Language Skills:

  • Ability to effectively communicate in English, both verbally and in writing.

Skills:

• Knowledge of SQL for data retrieval purposes

• Excellent report writing ability and analytics. Experience with SSRS is preferred

• Familiarity with relational databases

• Experience analyzing health plans claims data

• Experience with data warehouse platforms and tools

• Ability to work long and flexible hours as needed

• Enjoys working in both individual and team settings

• Must be able to work independently; providing management with status updates

• Multi-task; establish priorities

• Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment

• Good organization, management, and reporting skills

• Good communication and relationship skills

• Strong analytical skills

• Attention to detail

• Experience using data analysis software (i.e., SAS, SPSS, SQL, Python, R, etc.) and health care analytical tools such as Verisk, Crimson Pop Health, Deerwalk, or similar tools

• Experience in working with QNXT, Impact and/or any claim processing application is preferred

• Experience with working data visualization tools such Qlik, SSAS, Tableau is a plus

• Excellent Microsoft Office skills (Excel, Word, Access, Visio, Power-point, Publisher, etc.

 

Apply on the Company Site
Back to search results
Powered ByLogo

Browse Jobs by Category

Featured Jobs[ View All ]

Featured Employers [ View All ]