Business Analytics Lead Analyst (North Texas Provider Network) - Hybrid

About the Role

Key Responsibilities

• Analyze impact to trends for professional, facility and ancillary contract 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.
• Leverage Hospital and Payer Transparency competitor data/insights in contract negotiation modeling.
• Analyze reports and present findings to business partners at various levels of the organization.
• Assist Senior Manager on planning processes and ad-hoc report requests.
• 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.

Requirements

• 2+ years' of experience with health care data analysis required.
• Experience with trend analysis and health care provider contract analysis preferred.
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS.
• Familiarity with various data mining and reporting tools such as Microsoft Excel, Microsoft Access or SAS/SQL language.
• Strong analytical and problem-solving skills with a proven track record of success.
• Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines.
• Strong ability to validate and interpret results.
• Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics.
• 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.
• Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or other related field of study highly desired.

Nice to Have

• Experience with health care data analysis and trend analysis.
• Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS.
• Familiarity with data mining and reporting tools such as SAS/SQL.

Qualifications

• 2+ years' experience in healthcare data analysis.
• Knowledge of medical coding standards.
• Proficiency with data mining and reporting tools.
• Bachelor's degree in a related field highly desired.

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.