Remote Position
Risk Performance Analyst
🌍 Remote · United States
💼 Full-time
Job Description:
- Support and ensure achievement of enterprise goals
- Proactively identify and address overlapping financial, clinical, and client-retention risks
- Track complex interdepartmental risks and engage stakeholders to increase alignment
- Assist in executing risk mitigation strategies
- Provide client and initiative performance reports to leadership stakeholders
- Serve as a subject matter expert for new products and services affecting multiple departments
- Compile, develop, and report on strategic project developments involving interdepartmental risks
- Build consultative relationships across departments to understand opportunities, identify risks, and develop mitigation strategies
- Perform comparative analyses across time frames for clients or Books of Business
- Track key statistics for priority clients and initiatives, including clinical utilization and financial performance
- Identify, analyze, and communicate trends across the Book of Business and at client level
- Collaborate on monitoring, target and goal setting, product strategies, and solutions
- Conduct ROI analysis and performance monitoring, and identify enhancements for products and solutions
- Use Databricks, Power BI, and DOMO, as well as project-management tools such as Azure DevOps and JIRA
- Assist with ad hoc projects involving risk teams
- Follow interdepartmental practices and procedures with Finance, UW, and Client Experience
- Maintain relationships with Client Account Management, Finance, and Care/Clinical Management
- Handle ad hoc requests from Care Management, Client Experience, and Finance teams
- Support fellow peers as needed
Requirements:
- Bachelor’s degree
- At least 1 year of PBM experience or at least 2 years of experience in Analytics, Finance, Business Intelligence or similar
- Excellent oral, writing and presentation skills
- Ability to develop and deliver clear, crisp, and customer-focused messages and presentations to all levels of company team members
- Strong data science skills using SQL, R, Python, or SAS
- Analytical skills, including the ability to perform complex analysis and make recommendations based on statistical inferences
- Excellent critical thinking and problem-solving skills
- Ability to work independently and collaboratively in a deadline-driven environment
- Relationship-building and networking skills with internal organization
- Ability to work in a fast-paced environment
- Proficient in Microsoft Office Suite
- Excellent time management skills and ability to meet deadlines
- Preferred: 1+ years of experience working with healthcare claims data and/or pharmacy data
- Preferred: Proficiency in data visualization tools such as Power BI, Tableau, Looker, or Domo
Benefits:
- Paid Time Off
- 401(k) program
- Health Insurance including Dental & Vision coverage
- Health Savings Account
- Employee Assistance Program
- Remote work arrangement