TPRM Risk Analyst responsible for managing third - party vendor risk portfolios at TransUnion. Overseeing risk assessments and supporting TPRM framework implementation in a global team setting.
About the role
- Healthcare Analyst supporting Provider Risk team to monitor provider performance and conduct analysis, collaborating across departments. Requires collaboration in a dynamic healthcare, finance, and data analysis environment.
Responsibilities
- Support the Provider Risk team to monitor provider performance and respond to varied requests from internal and external stakeholders requiring analysis of business, policy, and/or reimbursement changes.
- Work in a highly collaborative environment to pull together analysis and communicate results and recommended solutions.
- Monitor costs and revenue trends for Provider Organizations.
- Work cross-departmentally to determine provider performance results, package data into key points and visuals, and communicate to internal leadership and external stakeholders.
- Support contract analytics and fee schedule modeling to aid in contract negotiations and budget development.
- Respond to ad-hoc requests, including, but not limited to, claims reports, membership shifts, and impact of operational changes.
- Maintain awareness of industry changes, including updates issued by New York DOH related to Medicaid and CMS related to Medicare.
Requirements
- Bachelor's degree or higher from an accredited institution with a concentration in Finance, Business, Public Health or Healthcare Administration.
- Interest and familiarity with the healthcare ecosystem, cost and utilization trends.
- Experience with Microsoft Excel and/or coding experience.
- Knowledge of Medicaid/Medicare Advantage programs, Healthcare Claims and/or reimbursement.
- Excellent verbal and written communication abilities.
- Ability to be strong team player in a dynamic and fast-paced environment.
- Knowledge of SQL / R / Python / Tableau
Benefits
- medical, dental and vision coverage
- incentive and recognition programs
- life insurance
- 401k contributions
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