Senior Payer Analytics Lead
3 weeks ago
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.
-
Senior Payer Analytics Specialist
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeJob Title: Senior Payer Analytics AnalystJob Description Overview:SCA Health is seeking a Senior Payer Analytics Analyst to join our Catalyst Analytics team. As a key member of our team, you will play a critical role in examining and organizing complex data for multiple ASC contract and development negotiations. Your investigative mindset and ability to...
-
Senior Payer Analytics Specialist
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeSenior Payer Analytics AnalystAt SCA Health, we are seeking a Senior Payer Analytics Analyst to join our Catalyst Analytics team. This role will involve examining and organizing complex data for multiple ASC contract and development negotiations, as well as exploring nuances of the data to drive decisions through report preparation and analysis.This position...
-
Senior Payer Analytics Specialist
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeJob Description OverviewSCA Health is seeking a Senior Payer Analytics Analyst to join the Catalyst Analytics team. This role will involve examining and organizing complex data for multiple ASC contract and development negotiations, as well as exploring nuances of the data to drive decisions through report preparation and analysis.ResponsibilitiesPartner...
-
Payer Analytics Specialist
1 month ago
Myrtle Point, Oregon, United States SCA Health Full timePayer Analytics RoleSCA Health is seeking a skilled Payer Analytics Analyst to join our team. As a key member of our Payer Analytics Team, you will play a critical role in driving business growth and revenue optimization.ResponsibilitiesPartner with contract negotiators to identify key variables and develop strategic analytical models.Collaborate with...
-
Payer Analytics Specialist
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timePayer Analytics AnalystWe are seeking a skilled Payer Analytics Analyst to join our team at SCA Health. As a key member of our Payer Analytics Team, you will be responsible for analyzing complex data to inform business decisions and drive revenue growth.Key responsibilities include:Partnering with contract negotiators to identify key variables and...
-
Payer Engagement Director
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timePayer Engagement DirectorSCA Health is seeking a seasoned professional to lead payer engagement efforts, driving strategic partnerships and contracts that support the company's growth and success.The ideal candidate will possess a deep understanding of the healthcare payer landscape, with expertise in contract negotiation, analytics, and project...
-
Payer Engagement Director
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timePayer Engagement Director Job DescriptionSCA Health is seeking a highly skilled Payer Engagement Director to join our team. As a key member of our organization, you will be responsible for completing payer and managed care diligence for multiple ASC, Surgical Hospital, and Specialty Practice transactions.Key Responsibilities:Perform required work in a...
-
Payer Engagement Director
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timePayer Engagement DirectorAt SCA Health, we are seeking a highly skilled Payer Engagement Director to join our team. As a key member of our organization, you will be responsible for leading payer diligence and strategy across multiple acquisition opportunities.Key Responsibilities:Perform in-depth payer managed care contract reviews and risk...
-
Payer Engagement Director
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeAbout the RoleSCA Health is seeking a highly skilled and experienced professional to join our team as a Payer Engagement Director. In this role, you will be responsible for leading the payer diligence process for multiple ASC, Surgical Hospital, and Specialty Practice transactions.Key ResponsibilitiesPerform comprehensive payer managed care contract reviews...
-
Senior Integration Project Manager
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeSenior Integration Project ManagerAt SCA Health, we are seeking a highly skilled Senior Integration Project Manager to lead the simultaneous management of multiple projects with varying size and complexity. This role will oversee all aspects of integration projects, including leveraging diligence findings and Operational Readout information in determining...
-
Senior Integration Project Manager
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeIntegration Project ManagerAt SCA Health, we are seeking a highly skilled Integration Project Manager to join our team. This role will be responsible for the simultaneous management of multiple projects with varying size and complexity, including acquisitions of ASCs and Surgical Hospitals, construction and development of new ASC or Surgical Hospital (de...
-
Senior Program Manager
4 weeks ago
Myrtle Point, Oregon, United States R3 LLC Full timeJob DescriptionR3 LLC is seeking an experienced Senior Program Manager to oversee and manage multiple complex projects within the Professional Services team. This role demands a high level of organization, attention to detail, and a strong background in cloud and IT infrastructure technologies.The Senior Program Manager will provide project management...
-
Integration Project Manager
1 month ago
Myrtle Point, Oregon, United States SCA Health Full timeJob Title: Integration Project ManagerSCA Health is seeking an experienced Integration Project Manager to lead the simultaneous management of multiple projects with varying size and complexity. The ideal candidate will have a proven track record of successfully managing projects from planning to execution, with a focus on integration and operational...
-
Senior Sales Vice President
4 weeks ago
Myrtle Point, Oregon, United States Expion Health Full timeJob DescriptionExpion Health is seeking a seasoned Sales Vice President to lead our sales efforts in the Eastern United States. As a key member of our leadership team, you will be responsible for developing and executing a strategic sales plan to drive revenue growth and expand our market share.Key Responsibilities:Develop and execute a territory-based...
-
Senior Field Marketing Specialist
4 weeks ago
Myrtle Point, Oregon, United States Zillow Full timeAbout the RoleWe are seeking an experienced Senior Field Marketing Specialist to support the optimization of our sales and customer success teams. As a member of our team, you will play a pivotal role in developing and executing enablement programs that drive sales efficiency and revenue growth. You will work closely with Sales and Operations to define and...
-
Lead Enterprise Architect
3 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeJob Title: Lead Enterprise Architect - Infrastructure StrategyOverview:SCA Health is a leading healthcare provider with a strong commitment to delivering high-quality patient care. We are seeking an experienced Lead Enterprise Architect to join our team and shape our infrastructure strategy. As a key member of our technology leadership team, you will be...
-
Senior Information Security Engineer
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeSenior Information Security EngineerWe are seeking a seasoned Senior Information Security Engineer to strengthen our IT Security team at SCA Health. This role involves overseeing a broad range of security functions, including vulnerability management, intrusion prevention systems (IPS), data classification, web proxy management, SIEM monitoring, anti-virus...
-
Senior Information Security Specialist
4 weeks ago
Myrtle Point, Oregon, United States SCA Health Full timeSenior Information Security SpecialistWe are seeking a seasoned Senior Information Security Specialist to strengthen our IT Security team at SCA Health. This role involves overseeing a broad range of security functions, including vulnerability management, intrusion prevention systems (IPS), data classification, web proxy management, SIEM monitoring,...
-
IT Project Manager Lead
1 month ago
Myrtle Point, Oregon, United States Dynamic Solutions Technology LLC Full timeJob OpportunityDynamic Solutions Technology, LLC, a leading strategic services firm, is seeking a full-time IT Project Manager/Senior to support a DoD customer based in the DMV. This is an exempt remote position.Active Secret Clearance RequiredKey Responsibilities:Provide business, technical, and personnel management to subordinate groups of technical and...
-
Senior Information Security Engineer
1 month ago
Myrtle Point, Oregon, United States SCA Health Full timeSenior Information Security EngineerWe are seeking a seasoned Senior Information Security Engineer to strengthen our IT Security team at SCA Health. This role involves overseeing a broad range of security functions, including vulnerability management, intrusion prevention systems (IPS), data classification, web proxy management, SIEM monitoring, anti-virus...