Job Description

Overview

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

Providence Health Plan caregivers are valued for the work they do. You will 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.

The 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 changes on the Plan. They must stay 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 leaders across the organization including Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and external agencies (the State, CMS).

Responsibilities

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

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 data analysis experience. Or High School Education or equivalent, plus a minimum of 12 years of data analysis experience.
• Data analysis experience at a decision-making level.

Preferred Qualifications

• Master's Degree.
• Formal training in CQI/TQM and statistical process control methodology.
• Healthcare organization/health insurer experience.
• Extensive experience in CQI/TQM and statistical process control methodology.

Remote Work

Providence Health Plan welcomes 100% remote work for applicants who reside in the states of Washington, Oregon, and California.

• Washington
• Oregon
• California

Salary Range by Location

• California: Humboldt Min: $54.40, Max: $85.88
• California: All Northern California (excluding Humboldt) Min: $61.04, Max: $96.35
• California: All Southern California (excluding 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 (excluding 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 provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected. Our 120,000 caregivers serve in over 50 hospitals and 1,000+ clinics across multiple states. We are committed to serving the poor and vulnerable and upholding our mission of caring for everyone.

Equity

Providence is an Equal Opportunity Employer. We are committed to a diverse, inclusive workforce free from unlawful discrimination and harassment.

Requisition ID: 387087

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