Risk Analyst

Scope Of Role & Responsibilities

• Execute, deliver and maintain pre-existing scheduled reporting processes.
• Work alongside the Lead Risk Analyst on report creation, delivery and troubleshooting.
• Absorb, format, and store information received by external departments and actuaries for integration into downstream reporting.
• Create, update and maintain documentation on processes impacting pertinent business workflows across departments to inform staff and identify potential areas of improvement.
• Support staff on various initiatives as it pertains to VBP arrangements, finance, risk and quality.
• Prepare projection analyses on claims and utilization, including underlying trends and risk analysis.
• Prepare analyses of medical service from large, shared databases utilizing queries and multiple level extracts.
• Prepare financial analyses for providers based on their risk performance.
• Prepare financial historical and projection analyses for contracting proposals such as those related to value-based contracting.
• Ensure critical risk affiliations are represented in our data and work with IT staff to resolve any issues/discrepancies.
• Act as a liaison with provider finance and operations staff.
• Support special projects and other related duties as assigned.

Required Education, Training & Professional Experience

• Bachelor’s Degree or a minimum of 3 years of experience in an industry related to business, health care, consulting, insurance, government.
• Insurance operations experience preferred.
• Proficiency in Microsoft Excel, Access and Word are necessary.
• SQL Query skill is desired.
• Experience with statistical systems and data reporting.

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Excellent verbal, written and mathematical skills