Senior Payer Analytics Lead

3 weeks ago


Myrtle Point, Oregon, United States SCA Health Full time

About the Role

We are seeking a skilled Senior Payer Analytics Analyst to join our Catalyst Analytics team at SCA Health. As a key member of our team, you will play a crucial role in examining and organizing complex data for multiple ASC contract and development negotiations. Your investigative mindset and ability to use data to drive decisions will be essential in preparing accurate and instructive analytical models. This is a remote position.

Key Responsibilities

  • Partner with contract negotiators to identify key variables and preliminary strategies for upcoming projects, then generate analytical models that reflect these inputs.
  • Collaborate with regional business development leaders to evaluate potential acquisitions using a combination of external and internal claims data.
  • Support cross-functional team members with the development, implementation, and maintenance of operational reports and analytical dashboards.
  • Help design and implement improvements to established or proposed reimbursement processes.
  • Develop quality control processes to ensure data integrity.
  • Review claims data to ensure accurate and adequate payment.

Requirements

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field.
  • 3+ years of analytical experience in a Healthcare/Managed Care environment required.
  • Strong command over MS SQL Server (T-SQL) and Excel.
  • Experience working with large healthcare claims data and clinical code knowledge (ICD, CPT, Rev Codes, etc.) strongly preferred.
  • Tableau BI tool experience and acute attention to detail also preferred.

About SCA Health

SCA Health is a dynamic group of physician-driven, specialty care businesses that offers customized solutions for our partners. As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment. Our team is dedicated to delivering high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.



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