Payor Analytics Lead
4 weeks ago
At Heartland Dental, we're seeking a highly skilled Payor Analytics Lead to join our Payer Relations Department. As a key member of our team, you'll play a critical role in driving business growth and success through advanced business and financial data analytics.
Key Responsibilities:- Provide business analytics for insurance network, fees, and contract negotiation
- Conduct benchmarks and competitive analysis of payer fee schedules across different payers
- Track & analyze external dental price trends at national and state levels
- Perform overall Payer revenue analysis on volume, price, share and growth trends, etc.
- Coordinate, conduct and document financial analysis projects and financial reporting, presenting results and recommendations to management
- Respond to requests for data analytics to supported offices/operations
- Translate business data into clear business-focused deliverables for decision makers
- Define and recommend best practices for applying data and analytics solutions to resolve problems
- Must reside within driving distance from St. Louis, MO, Indianapolis, Indiana, or Effingham, IL
- Bachelor's degree in Math/Science/Engineering/Business or related field with 5+ years of heavy SQL or Python or master's degree with 3+ years of practical work experience (outside of academics)
- Independent critical thinking leading to the development of more effective approaches
- Communication Skills: highly skilled in written and verbal communication of complex ideas and analytic findings, including presentation materials
- High level of proficiency in SQL, Python, Power BI
- Attention to Detail: awareness of data integrity, vigilance in the quality and precision of analysis supporting high-quality conclusions
- Collaboration Skills: extensive experience in working with internal and external clients
- Ability to work well under pressure and prioritize multiple tasks
- History of automation and process improvement
- High level of maturity, personal initiative, and sound judgment
- Strong work ethic
- Healthcare, dental industry, or insurance experience
- Familiarity with SAP Hana/SAC
- Proficiency with R for data manipulation and statistical analysis
- Expertise in data visualization
- Master's Degree in Math/Statistics/Data Science/Data Engineering/Computer Science/Business
- Experience with statistical methods such as linear regression, time series, etc., and machine learning
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