Business Analytics Lead Analyst (Mid America Market) - Hybrid

About the Role

Key Responsibilities

• Provide analytical and strategic support of health care provider rate negotiations
• Effectively influence contracting in a strategic fashion and offer meaningful options during negotiations with a healthcare provider
• Proactively identify opportunities for unit cost improvement and engage contracting to build these into negotiations and plan where appropriate
• Provide ad-hoc analysis and deep dives into data as appropriate to support negotiations and provide value to our contracting partners
• Analyze reports and present findings and recommendations to business partners at various levels of the organization
• Contribute to the provider unit cost planning process. Influence contractors to establish targets that meet or exceed corporate objectives and ensure strong competitive positioning
• Keep management informed as to the progress of financial planning and proactively identify risk and opportunities for meeting the plan results
• Maintain strong communication with other analysts to identify new opportunities and share best practices
• Mentor and train business partners and other analysts

Requirements

• 2+ years of experience with health care data analysis preferred
• Experience with trend analysis and health care provider contract analysis preferred
• Familiarity with data mining and reporting tools such as Microsoft Excel, Microsoft Access, or SAS/SQL language
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS preferred
• Strong analytical and problem-solving skills with the ability to validate and interpret results
• Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
• Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners
• Strong communication skills to include written, oral, and group presentation
• Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management

Nice to Have

• Experience with health care data analysis
• Experience with trend analysis and provider contract analysis
• Knowledge of medical coding standards such as CPT-IV, ICD-10, DRG, revenue codes, and HCPCS

Qualifications

• Experience with health care data analysis (2+ years preferred)
• Familiarity with data mining and reporting tools such as Microsoft Excel, Microsoft Access, or SAS/SQL
• Knowledge of medical coding standards (preferred)

Benefits & Perks

• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year and paid holidays
• Work from home flexibility with internet connection requirements