Hybrid Senior Provider Contract Cost of Care Analyst

Posted 2 hours ago

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About the role

  • Provider Contract Cost of Care Analyst Senior providing analytical support to Cost of Care at Elevance Health. Focusing on claims costs, quality of care, and network satisfaction with a mix of in-office work.

Responsibilities

  • providing analytical support to the Cost of Care and/or Provider Contracting organizations
  • lowering claims costs
  • improving the quality of care
  • increasing member and provider network satisfaction
  • developing moderately complex ROI models
  • performing healthcare cost analysis to identify strategies to control costs
  • projecting cost increases in medical services by using analytic techniques
  • preparing pre-negotiation analyses
  • performing modeling to compare various contract scenarios
  • measuring and evaluating the cost impact of negotiation proposals
  • researching financial profitability/stability and competitive environment of providers
  • identifying cost of care savings opportunities
  • recommending policy changes
  • reviewing results post-implementation to ensure projected cost savings are realized
  • educating provider contractors on contracting analytics

Requirements

  • BS/BA degree in Mathematics, Statistics, or related field
  • minimum of 3 years experience in broad-based analytical, managed care payor or provider environment
  • experience in statistical analysis and healthcare modeling
  • SQL experience preferred
  • SAS experience preferred
  • Healthcare background preferred

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Senior Provider Contract Cost of Care Analyst

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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