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
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