Provider Contract Analyst Senior

2 weeks ago

Grand Prairie, United States Elevance Health Full time

Provider Contract Analyst Senior Location: This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live within 50 miles of one of our Pulse Point locations in Atlanta, GA, Richmond, VA, Indianapolis, IN, Chicago, IL, Mason, OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The Provider Contract Analyst Senior is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care. How you will make an impact: Performs varied data analyses which may include developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs. Projects cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis. Prepares pre-negotiation analyses to support development of defensible pricing strategies. Performs modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic. Measures and evaluates the cost impact of various negotiation proposals. Researches the financial profitability/stability and competitive environment of providers to determine impact of proposed rates. Projects different cost of savings targets based upon various analytics. Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings. Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. Recommends standardized practices to optimize cost of care. Educates provider contractors on contracting analytics from a financial impact perspective. Recommends alternative contract language and may meet on site to provider premises during contract negotiations. Participates on project team involved with enterprise-wide initiatives. Minimum Requirements: Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Master's degree preferred. Proficiency within SQL, SAS, Excel, or equivalent preferred. Proficiency in analyzing Medicaid claims data preferred. Experience analyzing and building valued based care contracts for the Medicaid line of business preferred. Experience reconciling value-based care contracts to ensure data accuracy preferred. Experience working with claims and provider contracts for the Medicaid line of business preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

  • Senior Financial Analyst

    3 weeks ago

    Grand Prairie, Texas, United States Lockheed Martin Corporation Full time

    Job DescriptionLockheed Martin is seeking a Senior Financial Analyst to assist with contract Earned Value Management System (EVMS) setup and management, cost control and analysis, proposal preparation, and staffing.Responsibilities:Establishing and managing program cost baselines.Conducting Earned Value analysis and associated variance analysis using various...

  • Senior Financial Analyst

    4 weeks ago

    Sun Prairie, Wisconsin, United States Creative Financial Staffing Full time

    Senior Financial AnalystCreative Financial Staffing is working with a reputable construction company to add a new Senior Financial Analyst to their team. They value integrity and have been in business for over 80 years.Key Highlights:Family-Owned & Currently on their 4th Generation of OwnershipIn Business Nearly 100 YEARSGreat Leadership &...

  • Senior Contract Specialist

    4 weeks ago

    Grand Prairie, Texas, United States PDS Tech Commercial, Inc. Full time

    PDS Tech Commercial, Inc. is seeking a highly skilled Senior Contract Specialist to support its operations in the Grand Prairie, TX area.Key Responsibilities:Administer contracts and negotiate terms with clients and suppliers.Develop and implement contract management strategies to ensure compliance and risk mitigation.Collaborate with cross-functional teams...

  • Senior Contracts Manager

    3 weeks ago

    Grand Prairie, Texas, United States Lockheed Martin Corporation Full time

    Job Summary: We are seeking a highly skilled Senior Contracts Manager to join our team at Lockheed Martin Missiles and Fire Control. As a key member of our contracts team, you will be responsible for evaluating contract performance, determining the necessity for amendments or extensions, and ensuring compliance with contractual obligations.Key...

  • Senior Business Analyst

    4 weeks ago

    Eden Prairie, Minnesota, United States E.A. Sween Company Full time

    Senior Business AnalystAt E.A. Sween Company, we are seeking a highly skilled Senior Business Analyst to join our team. As a Senior Business Analyst, you will provide expert-level insight and analysis on the processes and technology that support our core business partners. You will advise our company on ways to improve our processes by identifying new...

  • Senior Contracts Management Specialist

    3 weeks ago

    Grand Prairie, Texas, United States Lockheed Martin Corporation Full time

    Job Summary:We are seeking a highly skilled Senior Contracts Management Specialist to join our team at Lockheed Martin Corporation. In this role, you will be responsible for providing contract administration and negotiation support in all aspects of the contract life cycle, including proposals, negotiations, administration, and contract closeout.Key...

  • Senior Operations Analyst

    3 weeks ago

    Pleasant Prairie, Wisconsin, United States Uline Full time

    Senior Operations AnalystUline is seeking a skilled Senior Operations Analyst to join our team. As a Senior Operations Analyst, you will be responsible for reviewing, auditing, and summarizing operational data to provide executive summaries with recommendations to Uline's President. You will investigate root causes and work with cross-functional areas to...

  • Senior Financial Analyst

    2 days ago

    Grand Blanc, United States LanceSoft, Inc. Full time

    Job title: Senior Financial Analyst/Senior Decision Support AnalystLocation: Grand Blanc, MI 48439Position Type: Full-time PermanentShift: 8:00 AM - 5:00 PMExpected Hour's: 40hrs/wk.Responsibilities: Provide analytical operations support using a variety of data sources. Analyze and interpret data to provide information for management decisions.Analyze data...

  • Senior Security Analyst

    4 weeks ago

    Eden Prairie, Minnesota, United States HelpSystems Full time

    Job Title: Senior Security AnalystAt Fortra, we're looking for a highly skilled Senior Security Analyst to join our Web Security Experts team. As a key member of our team, you will be responsible for designing and implementing robust security solutions to protect our customers' web traffic and critical infrastructure.Key Responsibilities:Provide world-class...

  • Senior Credit Analyst

    2 weeks ago

    Pleasant Prairie, United States Uline Full time

    JOB REQUIREMENTS: Senior Credit Analyst Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Uline continues to grow as a top distributor of shipping, industrial and packaging materials. We\'re hiring a Senior Credit Analyst to help support our success! If you\'re a dedicated finance professional, Uline is an excellent place to grow your...

  • Senior Financial Analyst

    3 weeks ago

    Grand Blanc, Michigan, United States A-Line Staffing Solutions Full time

    Job DescriptionA-Line Staffing Solutions is seeking a skilled Senior Financial Analyst to join our team. As a key member of our organization, you will be responsible for providing corporate financial and statistical analysis to assess the financial and operational impacts of management decisions and proposals.Key Responsibilities:Provide analytical...

  • Senior Living Sales Counselor

    1 month ago

    Grand Prairie, United States Morada Senior Living Full time

    About Morada Senior Living: Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our "Pillars of Excellence," employs thousands of vital Team Members and is committed to...

  • Senior Living Sales Counselor

    2 weeks ago

    Grand Prairie, United States Morada Senior Living Full time

    About Morada Senior Living: Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our "Pillars of Excellence," employs thousands of vital Team Members and is committed to...

  • Senior IT Operations Analyst

    4 weeks ago

    Grand Forks, North Dakota, United States QinetiQ US Full time

    Job Title: Senior IT Operations AnalystQinetiQ US is seeking a highly skilled Senior IT Operations Analyst to support the Space Development Agency (SDA) in its mission to deliver space-based capabilities to the joint warfighter.Key Responsibilities:Provide customer-focused support as the primary liaison for SDA staff and local network service...

  • Senior Systems Analyst

    4 weeks ago

    Grand Rapids, Michigan, United States Creative Financial Staffing Full time

    Job Title: Senior Systems AnalystJob Summary: We are seeking a highly skilled Senior Systems Analyst to join our team at Creative Financial Staffing. As a Senior Systems Analyst, you will be responsible for maintaining and enhancing company budgeting, forecasting & long-term planning systems. You will also be responsible for maintaining, supporting, and...

  • Senior Commercial Credit Analyst

    3 weeks ago

    Grand Rapids, Michigan, United States Lake Michigan Credit Union Full time

    About the Role: We are seeking a highly skilled Senior Commercial Credit Analyst to join our team at Lake Michigan Credit Union. As a Senior Commercial Credit Analyst, you will be responsible for assessing the risk of commercial loan requests, managing the administrative requirements of a commercial loan portfolio, and training and mentoring junior credit...

  • Senior Business Systems Analyst

    3 weeks ago

    Grand Rapids, Michigan, United States iMPact Business Group Full time

    Job DescriptionOur client, iMPact Business Group, is seeking a highly skilled Senior Business Systems Analyst to support the implementation of Workday. This is a 17-month contract, offering 100% remote work opportunities. The ideal candidate will have experience in Workday-Core, Leave & Absence, and Benefits, with a strong understanding of business and...

  • Senior Credit Analyst

    2 months ago

    Pleasant Prairie, United States Uline Full time

    Senior Credit AnalystCorporate Headquarters12575 Uline Drive, Pleasant Prairie, WI 53158 Uline continues to grow as a top distributor of shipping, industrial and packaging materials. We’re hiring a Senior Credit Analyst to help support our success! If you’re a dedicated finance professional, Uline is an excellent place to grow your career. Better...

  • Senior Analyst

    2 weeks ago

    Pleasant Prairie, United States Uline Full time

    Senior Analyst - Operations Pay from $80,000 to $125,000 per year Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Identify. Interpret. Innovate. Are you a numbers expert who enjoys digging into data to pinpoint trends? Join Uline as a Senior Operations Analyst to translate data into actionable recommendations to Uline leadership as our...

  • Senior Commercial Credit Analyst

    1 month ago

    Grand Rapids, United States Lake Michigan Credit Union Full time

    Primary Location: Grand Rapids, MI - Employee Status: full-time salary. Estimated Hours/ Week: 38 What Youll Get: (note varied offerings based on role and hours) Weekly Pay Comprehensive Health & Wellness package including Medical (with prescription Credit Analyst, Commercial, Analyst, Senior, Loan Officer, Technology, Banking, Credit