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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
Primary subject of analytic support related to support of reinsurance, large employer RFP, large employer and ASO, state and/or federally mandated reporting and analyses.Analytical role may vary and involve knowledge of value based payments, provider contract language, healthcare utilization, healthcare benefits and state and federal guidelines. The role will also collaborate with level 3 and 4 analysts and analytics management in coordination of projects with multiple departments in supporting contractually required reporting in a timely, accurate and easy to understand format for external provider audiences. Additional tasks may include assisting with components of validating data used in the VBP settlement and payment processes; initiating documentation and processes; provides financial guidance and support; supports cost savings and process improvement efforts; provides financial governance and oversight.
Essential Responsibilities:
- Provides essential data support and coordination activities for various business critical analysis and reporting needs.
- Perform accurate and complete data extraction from data warehouse as well as nonstandard data sources to meet project requirements as directed. This would include cleaning, transformation and pre-processing data using software programs such as t-SQL, SAS, etc.
- Support the development of data visualization solutions that allow customer to interact with the data using data visualization software solutions such as Tableau or Microsoft Power BI.
- Develop reports and analytical solutions and processes to support the RFP process, large employer, ASO as well as various state and federal requests.
- Calculate and analyze value based payment terms including development of reports, running of monthly report processes as well as reporting to support financial reconciliation processes.
- Support presentation of complex data, analysis and findings to teams in