Contract Analyst providing analytic support for healthcare network performance. Analyzing data, monitoring contracts, and supporting negotiations in a healthcare setting.
Responsibilities
Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future business, and new products
Utilize applications and tools to support network performance management reporting and analytic needs
Evaluate and monitor financial performance of key provider contracts for health plans
Perform financial analyses to identify medical cost improvement opportunities to develop and execute contracting action plans to achieve results
Perform contract analysis to support contract negotiations including assisting in development of contract modeling tool
Prepare network performance management reports to monitor and measure unit cost trends and network improvement opportunities
Perform detailed contract analysis for executed contracts to evaluate contract terms and rates are meeting expected targets
Research new business state payment methodologies and identify opportunities to improve unit cost management
Collect data requirements from internal and external analytic customers to prepare financial analysis or develop analytic tool/model
Performs other duties as assigned
Requirements
Bachelor's degree in Business, Finance, Accounting, related field, or equivalent experience
2+ years of provider reimbursement and analysis, data/contract analysis and data mining or statistics, preferably in the healthcare industry
Working knowledge of SQL tools, analytical software (SAS, SPSS, etc), and Business Objects/Cognos preferred
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Senior Record - to - Report Analyst preparing financial and management data for ZALORA. Collaborating with auditors and ensuring compliance with financial standards.
Occupational Safety Health Analyst ensuring compliance with OSHA standards and supporting FAA safety programs. Involves inspections, training, and investigations in California and Nevada.
Fraud detection and account reconciliation analyst at Domtar, ensuring compliance and financial integrity in Montreal. Evaluating bank information and managing account reconciliations with thorough analysis.
Credit Analyst responsible for approving loans and making credit recommendations at U.S. Bank. Conducting credit analysis, evaluating customer accounts, and mitigating risk in loan processes.
Senior Analyst analyzing Eastern European politics and media for M+C Saatchi World Services. Producing assessments and strategic recommendations for project stakeholders in the region.
Data Privacy Analyst role focused on managing privacy processes and compliance with European data protection laws. Involves stakeholder collaboration and development of privacy policies.
Bilingual Credit Analyst handling dealership customer applications for a financial services company. Ensuring compliance and delivering superior customer service in a remote environment.
Credit Analyst role in financial services aiding auto dealers with customer applications and resolving open requirements. Delivering superior customer service while working remotely and managing various tasks.
Dispute Investigation Analyst responsible for investigating consumer - initiated inquiries and disputes across various channels while ensuring compliance with regulations. Collaborates with teams and provides timely responses based on research findings.