Business Information Consultant Senior

Business Information Consultant Senior

The Business Information Consultant is responsible for coordinating and consolidating various impact analyses for management reporting, and value-based financial model methodology development, to determine the best methods and approaches to calculate accurate estimates of program savings.

Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

How you will make an impact:

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
• Analyzes and designs solutions to address varied and highly complex business needs.
• May collaborate with businesses and technical areas to implement new or enhanced products.
• May require strong knowledge of products as well as our internal business models and data systems.
• May coordinate with external audits as appropriate.
• Acts as the central contact with internal departments and external auditors.
• Develop financial models for value-based programs.
• Provide analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of care management.
• Thoroughly vet and perform due diligence on potential value-based arrangements to assess financial impact, ensure operational feasibility, and identify impact on existing programs.
• Conduct comprehensive analysis of healthcare data, claims, and financial reports to identify trends, patterns, and opportunities for improvement.
• Identification of potential cost of care savings opportunities through complex analytics.
• Comfortable understanding the operational and technical components of value-based contracts and the systems in which they are run to explain to the market.
• Work effectively with team members and business partners in driving communication of analytics, strategies trade-offs, and new approaches to breaking down analytics.
• Extract, summarize, and analyze large datasets from multiple sources, develop efficient and transparent queries, effectively communicate complex analytical findings, and create compelling narratives for decision makers.
• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
• Analyzes and designs solutions to address varied and highly complex business needs.
• May collaborate with businesses and technical areas to implement new or enhanced products.
• May require strong knowledge of products as well as our internal business models and data systems.
• May coordinate with external audits as appropriate.
• Acts as the central contact with internal departments and external auditors.

Minimum Requirements:

Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Experience providing leadership in evaluating financial performance of complex organizations strongly preferred.
• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills strongly preferred.
• Ability to work independently and draw up plans to address issues/concerns strongly preferred.
• Knowledge of IM technologies, organizational structure, and customer information needs strongly preferred.
• Prior leadership or management experience preferred.
• Effective communication skills, including facilitation, consultation, negotiation, and persuasion preferred.
• Deep knowledge of value-based care and/or population health management experience preferred.
• Progressive experience leading and performing analytical work within the healthcare industry (i.e., health plans, large physician practices, hospitals, ancillary, medical facilities, healthcare vendor, etc.) preferred.
• Experience with SAS, SQL, or similar data manipulation tools, where you have created efficient and transparent queries, pulled large data sets, and performed data manipulations/analysis preferred.
• Experience at using data to tell financial stories with recommendations on how to create PMPM efficiencies and reduce cost preferred.
• Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills preferred.
• Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms preferred.
• BA/BS degree in Actuarial Sciences, Health Economics, Statistics preferred.
• Healthcare industry experience in med econ, provider finance, healthcare analytics, actuarial services preferred.

Job Level: Non-Management Exempt

Workshift:

Job Family: RDA > Business/Health Info