Risk Unit Business Analyst
Westwood, Ma
• Incorporate continuous quality improvement principles at assigned Risk Units, including key hospital, Pod Leaders, and physician group business and clinical teams. Proactively communicate and collaborate with Risk Units to analyze needs and requirements for successful management of total medical expense and quality. Act as liaison between assigned Risk Units and BIDCO staff. • Extract and analyze health care data (claims) reports in support of the Risk Unit's total medical expense… Show more • Incorporate continuous quality improvement principles at assigned Risk Units, including key hospital, Pod Leaders, and physician group business and clinical teams. Proactively communicate and collaborate with Risk Units to analyze needs and requirements for successful management of total medical expense and quality. Act as liaison between assigned Risk Units and BIDCO staff. • Extract and analyze health care data (claims) reports in support of the Risk Unit's total medical expense management initiatives. • Proactively contribute in the execution of Risk Unit meetings by tracking key deliverables assignedwithin the Risk Unit and between the Risk Unit and BIDCO. Contribute to the development of timelines, metrics, and key milestones. • Perform monthly review of key analytic reports to track overall Risk Unit performance. Identifies drivers of performance, and work with Risk Unit leaders to implement work plans to address issues. Present complex data clearly in a variety of formats and effectively communicates key findings to drive informed decision making. • Collaborate with Manager and team members when more in-depth analytics are required, and to design new reports and enhance existing reports for improved ability to manage medical expense. • Understand and explain in a clear and concise manner the parameters of the risk sharingarrangements with payors and within the Company, including annual efficiency measures, the internal financing system and quality measures that affect risk arrangements. Show less