Virginia Premier Health Plan Business Analyst III in Richmond, Virginia

About Us

Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.

By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.

At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.

If this sounds like you, read on!

Overview

This position is responsible for developing an extensive expertise in the data and systems leveraged internally and externally by the Health Exchange Analytics Program team. Responsible for working with various Operational Departments, Information Systems, and Data Warehouse teams to implement the Health Exchange Analytics. Initiative and support ongoing organizational objectives including gathering requirements, performing analysis, supporting the development and testing of DW Tables and processes, and understanding and documenting the applications, data, and associated technologies for the team. This position is responsible for developing an extensive expertise in the HHS Risk Adjustment area. This position will provide analytics and risk adjustment reporting support toHHS Marketplaceprogram post implementation.

Responsibilities

  • Responsible for developing an extensive expertise in the data and systems leveraged by the Analytics HHS Marketplace Program team

  • Participate in report development and automation using Microsoft SQL Server (SSRS, SSIS), Tableau and other analytical software products and tools

  • Provides support to all activities related to implementation, report development, data management, and analysis on the Health Exchange Analytics Program team

  • Document processes for use in training, maintenance, and department procedures

  • Work closely with all analytic resources to achieve team goals

  • Assist in thetraining and growth of newanalysts, as well as act as Subject Matter Expert on requested analyses

  • Perform complex queries, apply extensive understanding of database tables, relations, data types and values

  • Monitor changes in the external environment (regulatory/reimbursement changes, managed care arrangements, etc.) and advise senior management on threats and opportunities with suggested action plansAssist in the analysis and presentation of business opportunities

  • Participate in development and analysis teams with other analysts (including analysts and managers of other organizations)

  • Develop an extensive expertise in the HHS Risk Adjustment area.

Qualifications

MINIMUM EDUCATION REQUIREMENTS

  • Bachelor’s Degree in Business, Health Administration, Mathematics, Information Systems, Economics, Statistics or related field

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Strong knowledge of a structured query language, such as Microsoft Access, Microsoft SQL Server TSQL, SPSS or SAS

  • Working knowledge in Tableau enterprise environment as both a developer and analyst

  • Highly analytical thinking with demonstrated talent for identifying, scrutinizing, improving, and streamlining complex work processes

  • Performs data analysis using traditional and non-traditional statistical methods

  • Ability to analyze problems and develop multiple workable solutions

  • Demonstrates an active interest in enhancing current skills and learning new ones; applies advanced functional or technical knowledge to do his or her job at a high level of accomplishment

  • Chooses appropriate tools or technology for tasks; improves or redesigns processes, tools, or technologies

  • Consistently shares expertise with others, teaching skills and explaining concepts

  • Participate fully in analytical team. May lead multi-functional teams.

  • Demonstrated experience in troubleshooting complex problems

WORK BACKGROUND/EXPERIENCE

  • Required: Minimum 3+ years of experience in data analysis and/or report development

  • Preferred: Minimum 3+ years of experience in healthcare, business analysis or application development/implementation

  • Six Sigma Green Belt preferred

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

Our mission is to inspire healthy living within the communities we serve!

Job ID 2018-5302

As an equal opportunity employer, Virginia Premier is committed to a diverse workforce. To ensure non-discrimination and affirmative action for individuals protected by Executive Order 11246, as amended, Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Veterans’ Readjustment Act of 1974, as amended, and Title I of the Americans with Disabilities Act of 1990, as amended, Virginia Premier will consider applicants for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Applicants who require accommodation in the job application process may contact Recruitment at 804-819-5151 for assistance. It is the policy of Virginia Premier Health Plan, Inc., to comply with the requirements of the Drug-Free Workplace Act of 1988. It is a violation of our drug-free workplace policy to use, possess, sell, trade, and/or offer for sale alcohol, illegal drugs or intoxicants in our workplace. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Virginia Premier participates in E-verify.