Hybrid Cost of Care – Provider Contracting Data Analyst

Posted 2 weeks ago

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About the role

  • Data Analyst supporting Cost of Care and Provider Contracting within Elevance Health, focusing on claims costs, quality of care, and contract negotiations for healthcare providers in the United States.

Responsibilities

  • Provides analytical support to the Cost of Care and/or Provider Contracting organizations
  • Focuses efforts on lowering claims costs, improving quality of care, and increasing member and provider network satisfaction
  • Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues
  • Works on large scale initiatives with high dollar cost savings opportunities
  • Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process
  • Works on complex enterprise-wide initiatives and acts as project lead
  • Uses analytic tools to track health risks and compliance
  • Recommends policy changes and claim's system changes to pursue cost savings
  • Reviews results post-implementation to ensure projected cost savings are realized

Requirements

  • Requires BS/BA degree in Mathematics, Statistics, or related field
  • Minimum of 5 years experience in broad-based analytical, managed care payor or provider environment
  • Considerable experience in statistical analysis and healthcare modeling
  • Proficiency with Snowflake, SAS, SQL, and Excel is strongly preferred
  • Experience with Tableau is preferred
  • Health Economics background strongly preferred
  • Healthcare background strongly preferred

Benefits

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short and long term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources

Job title

Cost of Care – Provider Contracting Data Analyst

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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