Attribution Analyst

Job not on LinkedIn

🔥 35 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $72.4k - $90.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Tufts University School of Dental Medicine

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1868

🏥 Healthcare

💼 Consulting

📚 Education

Healthcare • Consulting • Education

Tufts University School of Dental Medicine is a prestigious institution dedicated to advancing dental education, research, and patient care. As part of Tufts University, it offers comprehensive undergraduate and graduate programs in dental medicine, fostering an environment of intellectual growth and innovation. The school emphasizes a commitment to diversity and community engagement, providing students with ample opportunities for hands-on learning and research. Located near Boston, it benefits from a vibrant academic and healthcare community. Tufts University School of Dental Medicine is renowned for its contributions to dental science and its efforts to prepare students to lead in an evolving global landscape.

📋 Description

• Analyze healthcare member attribution files from commercial, Medicare, and Medicaid health plans • Validate attribution methodologies and ensure accurate patient-to-provider assignments • Monitor attribution trends, member movement, and panel size changes across provider networks • Perform data quality control audits and reconcile attribution rosters with payer-provided files • Develop reports and dashboards tracking attributed lives, provider performance, and population health metrics • Collaborate with care management, quality, finance, and contracting teams to support value-based care programs • Investigate attribution discrepancies and coordinate resolution with payers and internal stakeholders • Support annual and quarterly attribution reconciliation processes • Use SQL, Excel, and business intelligence tools to analyze large healthcare datasets • Generate insights regarding patient leakage, provider alignment, network utilization, and member engagement • Maintain documentation of attribution methodologies, business rules, and reporting processes • Assist with forecasting and strategic planning related to attributed populations and risk contracts • Identify and execute performance improvement and quality opportunities across the enterprise • Partner with business leaders to provide expert insight on existing processes and procedures • Apply process improvement methodologies to achieve performance improvement and quality objectives

🎯 Requirements

• Bachelor’s degree in business, healthcare or related field • Five (5) years of health care experience, including experience in health plans, quality improvement, successful project management, managed care, pay for performance programs, HEDIS, and efficiency programs • Strong knowledge of traditional and alternative healthcare payment models • Knowledge and competency in Electronic Health Records • Workflow knowledge in ambulatory care/provider practice settings • Significant proficiency in SQL and Microsoft Office Programs, especially Microsoft Excel and PowerPoint • Ability to analyze data and gain insights into areas of risk and/or opportunity • Ability to work in a matrixed reporting environment as needed • Normal office work environment • Frequent/continuous typing or computer keying

🏖️ Benefits

• Comprehensive Total Rewards package supporting health, financial security, and career growth