Payor Analytics Lead

4 weeks ago


Indianapolis, Indiana, United States Heartland Dental Full time
Job Title: Payor Analytics Lead

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
Requirements:
  • 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
Desirable Qualifications:
  • 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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