Analista de P&D Pleno developing new and reformulated products in the largest sports supplementation industry in Latin America. Bring your passion and expertise in food engineering to our growing team.
About the role
- Provider Contract & Reimbursement Analyst supporting Network Contract Management and corporate strategic initiatives. Analyzing claims, membership, and cost data for health care reimbursements.
Responsibilities
- analyze utilization, claims, membership, and cost data in support of the Network Contract Management department and corporate strategic initiatives
- design and use analytical tools to draw statistically sound conclusions and present results to management
- interpret, analyze, and recommend courses of action to management as it relates to fair, equitable, and market competitive reimbursement
- support provider contract negotiations, assess the impact of potential alternative reimbursement models
- improve the ability to deliver high quality high value care
Requirements
- Bachelor’s degree required
- MBA or equivalent advanced degree preferred
- An additional four (4) years of experience will be considered in lieu of degree
- Three (3) years of analytics experience OR an advanced degree plus two years of experience required
- Experience in data analysis, statistical analysis, business modeling or health care analytics/health informatics preferred
- Highly proficient in Access, Excel, and other analytical tools/programs (e.g., SQL, SAS, Microsoft Fabric)
- Strong understanding of the health care industry, health care economics, hospital, physician, and ancillary reimbursement methodologies preferred
- Skilled in statistical concepts, methodologies, and applications related to health care analytics and provider network management
- Ability to frame questions that create value for business partners
- Extensive experience in building and using statistically sound data modeling support tools to conduct trend analysis and determine cost and utilization drivers
- Ability to define problems, collect data, establish facts, draw conclusions, transform data into actionable information and clearly present results to upper management
- Attention to detail and skilled at data validation methodologies
- Ability to work collaboratively with other departments
Benefits
- first-class perks
- full range of benefits
- generous paid time off
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