Senior Cost of Care Analyst

4 days ago


Marquand, Missouri, United States Elevance Health Full time
Job Summary

We are seeking a highly skilled Senior Cost of Care Analyst to join our team at Elevance Health. As a key member of our Cost of Care and Provider Contracting organizations, you will play a critical role in analyzing data to identify opportunities for cost savings and improving the quality of care for our members.

Key Responsibilities
  • Collaborate with our contracting team to develop and maintain fee schedules related to our provider contracts.
  • Perform complex data analyses to identify strategies for reducing costs without compromising quality of care.
  • Develop and implement ROI models to project cost increases in medical services.
  • Prepare pre-negotiation analyses to support the development of defensible pricing strategies.
  • Measure and evaluate the cost impact of various negotiation proposals.
  • Research the financial profitability and stability of providers to determine the impact of proposed rates.
  • Project different cost savings targets based on various analytics.
Requirements

To be successful in this role, you will need a BS/BA degree in Mathematics, Statistics, or a related field, and a minimum of 3 years of experience in a broad-based analytical, managed care payor or provider environment. A Master's degree and experience with SQL coding, SAS, and Teradata are preferred.

What We Offer

We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development. Our team is dedicated to making a positive impact on the health and well-being of our members, and we are looking for individuals who share our passion for delivering high-quality care.



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