Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.

This is a Remote/Work from Home position. Hire must live in the continental US and is required work to eastern time or central time zone hours.

Primary Function/General Purpose of Position

Sr. Financial Analyst- Alternative Payment Models, leads reporting and analytics for Bon Secours Mercy Health Value Based Programs (Alternative Payment Models) including Accountable Care Organization (ACO), Patient-Centered Medical Home (PCMH), Episode Based Payment (EBP) Bundles and Medical Loss Ratio (MLR) Shared Risk incentive programs for governmental programs and various managed care programs.

Essential Job Functions

• Collects, aggregates, and analyzes data from multiple internal and external sources. Drives insights into business and market performance around alternative payment models.

• Produces clear and actionable reports that identify key performance indicators, areas of opportunity and risk, root cause sources, and business impact.

• Uses analytical skills and metrics to improve processes for business decision-making.

• Participates in complex projects and initiatives, requiring cross-functional coordination impacting overall business strategy and outcomes.

• Uses population health tools, electronic health record, claims and eligibility and attribution data and other reporting systems and sources to provide clinical, financial, utilization, and claims related reporting and analytics.

• Develops trend analysis reports that monitor key performance indicators and compares them to internal and external benchmarks; uses this data to assist leadership in decision-making, planning and implementing performance improvement strategies.

• In collaboration with key stakeholders, Value Based contracting lead, IT, program management leads, etc., designs and maintains dashboards on utilization, financial information, outcomes, population health management measures, and other metrics.

• Obtains report/data to track and analyze financial and program performance under Value Based arrangements, bundled payment and shared savings program methodologies. The analytical results will be shared and reviewed with key stakeholders.

• Extensive use of Cognos, SQL, Microsoft Access and Excel, Epic BI and reporting tools

• Build and analyze performance dashboards for reporting, interpreting and communicating population-based data for internal and external stakeholders. Integrates BSMH value based program performance results into overall system value based contract reporting.

• Perform routine audits and analytics for existing value-based programs to validate attribution, quality performance and financial reconciliations. Providing insights on performance and audit results to leadership.

• Provides analytics on expected revenue changes for budget and long range planning.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

None

Education

• Bachelor’s degree in business, statistics, healthcare management or related degree (required)

• Master’s degree in business, statistics, health care management or related degree (preferred)

Work Experience

• 5 years of experience in data analytics, business intelligence, reporting, informatics or related experience. (required)

• Experience with Structured Query Language (SQL), Tableau or Power BI skills (required)

• Working knowledge of Alternative Payment Models, including but not limited to concepts such as risk adjustment, member-to-provider attribution methodologies, episodic groupers, and the ACA. (preferred)

• Experience analyzing Alternative Payment Models with a focus on identifying population-based performance drivers and compiling financial reconciliations. (preferred)

• Advanced experience using business intelligence tools, including, Cognos, Statistical Analysis System (SAS), SPSS, Tableau. (preferred)

Skills

SQL

Tableau

Power BI skills

Alternative Payment Models

CMS

Trend Analysis

Data Analysis

Financial Acumen

Developing Presentations

analyzing data or information

report interpretation​

Attention to detail

Critical thinking

Communication

Teamwork

Conflict resolution

Active listening

Relationship building

Working Conditions

Long-distance or air travel as needed- not to exceed 10% travel.

General office environment.

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com