Kaiser Permanente Risk Analyst IV - Network Finance Analytics in SEATTLE, Washington
Title: Risk Analyst IV - Network Finance Analytics Location: WA - Seattle-Renton-GH Campus - Northwest Job Number: 172454
The Network Finance Analytics team is looking for a motivated individual who wants to continue developing their career as an analyst or actuarial student. As part of Kaiser Permanente Health Plan of Washington’s Actuarial department, we serve as internal consultants to Network Services, Provider Relations, Care Management, Care Delivery and others. As part of our team, you’ll provide analytic evaluation and support to current and proposed business strategies. Specifically, this role will be tasked with:
Building regular & ad hoc reports in Tableau and/or a Cognos-based platform. Reports use detailed data from an episode grouper, and compare utilization and cost patterns for various services, provider specialties, etc.
Using these reports, analyze the financial impact of business strategies related to provider network management, utilization management, and population health management.
Ensure a high quality internal client experience by relying on your ability to build relationships and trust across the organization.
This position works with a team of analysts and actuaries to support premium rate setting, provider contract analysis, network analysis, Medicare bid submissions, underwriting and other financial risks associated with health insurance. The Risk Analyst IV builds and maintains analytic models and provides basic analytics. They may work independently or under the supervision of more experienced analytics. Qualifications: Education Minimum Education Requirements Bachelor’s Degree Business Administration, Finance, Mathematics, Actuarial Science or related fields. Or in lieu of a degree 2 years of relevant experience (plus any additional experience that is required). Preferred Education Bachelor’s Degree Business Administration, Finance, Mathematics, Actuarial Science, Health Informatics & Information Management or related fields.
Knowledge/Skills Minimum Knowledge/Skills Requirements
Advanced -Manage client relationships with little supervision
Demonstrated negotiation skills
Expertise in financial and risk modeling
Demonstrated ability to apply actuarial and underwriting principles in day-to-day problems
Ability to develop and apply tactics to achieve organizational business strategy
Demonstrated working knowledge and skills in the analysis of health-care claims data and other related cost
Demonstrated knowledge in analysis of member, purchaser, and provider contracting Excellent verbal, written and presentation communication skills
Excellent customer service and organizational skills
Demonstrated understanding of insurance principles
Demonstrated working knowledge and skills in financial modeling
Familiarity of financial transaction flow within operational and financial systems Proficient in Microsoft Office applications
Access and Excel
SQL, SAS and other querying languages
Cognos report building
Experience Minimum Experience Requirements 10 years Related business/finance experience
License/Certifications Minimum License/Certifications Requirements None Required Preferred License/Certifications None Required
Knowledge/Skills Minimum Knowledge/Skills Requirements Preferred Knowledge/Skills Unspecified
Experience Minimum Experience Requirements 10 or more years actuarial/underwriting or related experience Preferred Experience 10 or more years actuarial/underwriting or related experience License/Certifications Minimum License/Certifications Requirements None Required
Group Health is an Equal Opportunity Employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, marital status, age, sexual orientation, gender identity or expression, or any other legally protected status. Job: Accounting and Finance Bargaining Unit: WWA Admin Exempt (non-union) FTE: 1 Schedule: Full-time Shift: Day Job Days of shift: Monday through Friday MON-FRI Hours of shift: 8am-5pm Travel: No Job level: Individual Contributor Job type: Standard Employee status: Regular J2W code: ADM1N
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.