Business Analyst, Star Program

Company: Point32Health
Location: Raynham
Posted on: May 12, 2022

Job Description:

Under the general direction of the Senior Business Analyst of the Star Program, the Business Analyst is primarily responsible for producing insightful and actionable reports, performance dashboards, and actionable member-level spreadsheets for all MA-PD contracts across multiple states. The Business Analyst will also be responsible for conducting root-cause analysis for measures where performance is trending low, analyses across geographies/markets, and at provider-group level. This position offers exposure to various stakeholders and leaders within the Senior Products Division. The candidate who will be successful in this role is someone with strong analytical mind-set, critical and organized thinking, and with a collaborative attitude.Job Description

• Execute timely and accurate data sourcing, validation, analytics, and reporting as directed including but not limited to the monthly Star performance and member-level data, annual survey data, and CMS data
  • Monitor and evaluate performance trends by analyzing monthly metric tracking dashboard. This includes current Part C and Part D measures. It also includes any measures that are anticipated to be included in the future based on industry or internal analyses.
    • Assist with the interpretation of raw data, statistical results, or otherwise compiled information, and prepare or assist in the preparation of written reports and/or oral presentations of findings to internal and external stakeholders
      • Provide analytical and consultative support to a broad spectrum of internal business areas / measure owner(s)
        • Identify and analyze the correlation between different sets of data to enable comprehensive business decisions (e.g. including but not limited to: Member Satisfaction Data, Provider Satisfaction Data, HEDIS, CAHPS, HOS, operational metrics, and other sources)
          • Develop policy and procedures documenting all data analysis, query/report building, and presentation of Star-related data
            • Participate in teams, meetings, workgroups, etc. that require Star expertise
              • Ongoing maintenance of Star related documentation and folder management
                • Other responsibilities as needed RequirementsEDUCATION:
                  • B.A./B.S. required. Masters preferred.EXPERIENCE:
                    • Minimum of 2-3 years of experience in a managed care environment preferably with Medicare Advantage products
                    • Strong analytical background with the ability to summarize high-level findings for various audiences
                    • Required: Expertise in using MS Excel (writing formulas, performing vlookups, pivot tables, etc.), PowerPoint, and Word
                    • Preferred: Expertise in data management through SAS, MS Access, or other SQL-based software
                    • Other helpful experience: Tableau, Cognos 10 or 11, Visio, VBA, etc.SKILL REQUIREMENTS:
                      • Must possess strong public speaking and presentation skills in order to report analytical findings
                      • Requires strong interpersonal and communication skills. Must be able to work cooperatively as part of a team.
                      • Ability to work under pressure and with attention to changing priorities.WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:
                        • Fast paced office environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high-level of initiative and independence.
                        • May require occasional evening or weekend hours as the needs of the organization dictate.What we build together changes our customers health for the better. We are looking for talented and innovative people to join our team. Come join us!Please note: As of Nov. 1, 2021, full vaccination against COVID-19 is required to enter any Point32Health office or if, on behalf of Point32Health, you are meeting in-person with individuals outside of a Point32Health office. As of Dec. 8, 2021, all employees - including remote employees - must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law. About UsPoint32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.At Point32Health, we're working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Keywords: Point32Health, Brockton , Business Analyst, Star Program, Professions , Raynham, Massachusetts