Job Description

Join to apply for the Principal Healthcare Data Analyst role at Providence Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team in and thrive in our 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. 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 organization’s 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. In addition to acting as a technical resource, the Risk Adjustment Analytics Principal also acts as a mentor to caregivers across the Data Analytics department. The Principal must maintain an understanding of the changing health care trends and Risk Adjustment regulations and the impact of such changes on the Plan. The Principal must remain current on analytic techniques and methodologies, data sources, data available within the Providence Health Plan System and other public and proprietary sources. They must also build and maintain relationships with other leaders across the organization including Actuarial, Network, Strategic Accounts, Compliance and Regulatory Finance, IS, Pharmacy, and agencies outside the organization (the State, CMS). Essential Functions Meets regularly with Risk Adjustment leadership and staff to establish reporting and analytics priorities, secure resources for required work, establish timelines for successful delivery, and execute on agreed-upon goals. Provides deep understanding of Risk Adjustment processes, models, methodologies, and expected outcomes and works with analytics team members to produce reporting and analysis to support decision making by leadership. Provides advanced analytical support to both 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 experience in data analysis. Or High School Education or equivalent, plus a minimum of 12 years of experience in data analysis Data analysis experience at a decision-making level. Preferred Qualifications Master's Degree. Coursework/Training: Formal training in the techniques of CQI/TQM and statistical process control methodology. Healthcare organization/health insurer experience. Extensive experience in the techniques of CQI/TQM and statistical process control methodology. Salary Range by Location California: Humboldt: Min: $54.40, Max: $85.88 California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35 California: All Southern California - Except 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 - Except 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.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits, voluntary benefits, well-being resources and more. Learn more at providence.jobs/benefits. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings free from all forms of unlawful discrimination and harassment. We believe diversity makes us stronger, and we are dedicated to shaping an inclusive workforce and equal opportunities for advancement. #J-18808-Ljbffr Providence

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