Actuarial Analyst 3

JOB SUMMARY: The Actuarial Analyst 3 will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholder at the DVACO and Jefferson (JHS) \Mainline Health (MLH) PODs. Is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Provides supervisory guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership. Produces analytics used to measure and quantify DVACO and associated business partners’ experience through reporting using CMS data and other internal/external data. Works with the DVACO clinical and financial team to identify trends and patterns in these complex data sets, draw conclusions, develop summaries utilizing charts, graphs and images to appropriately display the information for presentations to stakeholders. Works with and educate the POD quality leadership, the TIN and clinical practice leadership to present statistical and operational reports of the metrics including analysis of progress towards goals and benchmarks. Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality. Interfaces directly with customers and management...

Population Health Application Analyst III

JOB SUMMARY: The Population Health Application Analyst III will be responsible for validating and interpreting data to support population health management analytical tools and applications. This position is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with vender management, DVACO leadership, POD (Jefferson and MLH) leadership, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Stays current with vender applications and manages upgrades and new releases across internal and external stakeholders. Provides guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership Demonstrates knowledge in the relevance/importance of work and its impact on operations Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by leadership Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners. Interacts with co-workers, visitors, and other staff consistent with DVACO values. Develops a deep understanding of the functionality of the population health applications to consult and strategize on complex issues and implement solutions Accountable for all aspects of payer contracts integration and implementation; data acquisition and data management, advanced SAS or...