Business Analytics Lead Analyst (Mountain States Market) - Hybrid

About the Role

Key Responsibilities

• Provide analytical and strategic support of health care provider rate negotiations
• Summarize and communicate analytical findings and recommendations to business partners
• Effectively influence contractors by offering meaningful solutions during negotiations
• Provide ad hoc analysis and drill down reports as necessary to support negotiations and other initiatives contributing to medical cost improvement
• Assess the cost and quality efficiency of health care providers
• Assess the competitiveness of health care provider rate exhibits
• Contribute to the provider unit cost planning process. Influence contractors to establish targets that meet or exceed corporate objectives and ensure strong competitive positioning
• Identify risks and opportunities for meeting targets and inform management about potential and actual plan variances
• Collaborate with other analysts and contractors to maintain accuracy of forecasting tools
• Update health care provider rate schedules, trends, and other details in tracking databases
• Lead data validation efforts
• Collaborate with tool developers on tool enhancements
• Mentor and train business partners and other analysts

Requirements

• 3+ years' of experience with health care analysis
• Experience with health care provider contract analysis
• Strong analytical and problem-solving skills with the ability to validate and interpret results
• Strong communication skills including written, oral, and group presentation
• Ability to work independently while managing multiple tasks and meeting strict deadlines
• Exposure to various data mining and business intelligence tools such as Tableau, Microsoft Excel and Access preferred
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes and HCPCS preferred

Nice to Have

• Experience with health care provider contract analysis
• Exposure to various data mining and business intelligence tools such as Tableau, Microsoft Excel and Access
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes and HCPCS

Qualifications

• Not explicitly specified; at least 3+ years' experience in health care analysis and related skills are required

Benefits & Perks

• Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting day one
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year and paid holidays