Senior Provider Contract Analyst
1 day ago
We are seeking a highly skilled Senior Provider Contract Analyst to join our team at Elevance Health. As a key member of our Cost of Care organization, you will play a critical role in analyzing and negotiating contracts with healthcare providers to ensure the best possible outcomes for our members.
Key Responsibilities- Provide analytical support to the Cost of Care and Provider Contracting organizations, focusing on lowering claims costs, improving quality of care, and increasing member and provider network satisfaction.
- Work closely with the contracting team to build, maintain, and update fee schedules related to our provider contracts.
- Perform varied data analyses, including developing complex ROI models and healthcare cost analysis to identify strategies to control costs.
- Identify cost of care savings opportunities by analyzing practice patterns and recommending policy changes and claims system changes to pursue cost savings.
- Review results post-implementation to ensure projected cost savings are realized and recommend modifications as applicable.
- Recommend standardized practices to optimize cost of care and educate provider contractors on contracting analytics from a financial impact perspective.
- Participate on project teams involved with enterprise-wide initiatives.
- BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment.
- Experience in statistical analysis and healthcare modeling.
- Master's degree preferred.
- High level mastery of Excel preferred.
- Minimum of 2 years' experience with SQL coding preferred.
- SAS, Teradata experience preferred.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
-
Senior Business Systems Analyst
3 weeks ago
Grand Prairie, Texas, United States Lrs Full timePosition: Senior Business Systems AnalystFulcrum Consulting, a division of LRS Company, is seeking a Senior Business Systems Analyst to engage in a contract role.Possess a minimum of 2 years of experience in Product Information Management (PIM) or eCommerce, which is highly desirable.Act as a subject matter expert when applicable.Convert business needs into...
-
Senior Business Systems Analyst
2 weeks ago
Grand Prairie, Texas, United States Lrs Full timePosition: Senior Business AnalystFulcrum Consulting, a division of LRS Company, is seeking a Senior Business Analyst to contribute on a contractual basis.Key Responsibilities:Possess a minimum of 2 years of expertise in Product Information Management (PIM) and eCommerce.Act as a subject matter expert when applicable.Convert business needs into clear JIRA...
-
Senior Contracts Manager
7 days ago
Grand Prairie, Texas, United States Lockheed Martin Full timeAbout the RoleWe are seeking a highly skilled Senior Contracts Manager to join our team at Lockheed Martin. As a key member of our contracts team, you will be responsible for managing the entire contract life cycle, from proposal development to contract closeout.Key ResponsibilitiesDevelop and implement contract administration strategies to ensure compliance...
-
Lead Business Analyst
2 weeks ago
Grand Prairie, Texas, United States Lrs Full timePosition: Senior Business AnalystFulcrum Consulting, a division of LRS Company, is seeking a Senior Business Analyst to engage in a contract role.Key Responsibilities:Possess a minimum of 2 years of experience in Product Information Management (PIM) or eCommerce.Act as a subject matter expert when applicable.Convert business needs into clear JIRA tickets,...
-
Senior Financial Analyst
2 days ago
Grand Prairie, Texas, United States Republic National Distributing Company Full timeJob SummaryThe Senior Finance Analyst supports key financial activities related to supplier performance, fund management, accounts receivable/payable, pricing, and inventory management in such a way as to meet and exceed objectives by performing the following duties:Financial Analysis: Conduct thorough financial analysis to identify trends, opportunities,...
-
Senior Business Systems Analyst
1 week ago
Grand Prairie, Texas, United States Lrs Full timeJob OpportunityFulcrum Consulting, an LRS company, is seeking a highly skilled Sr Business Analyst for a contract position with our client.Key Responsibilities:Develop and maintain a thorough understanding of business requirements and processes.Collaborate with business stakeholders and Subject Matter Experts (SMEs) to gather and document requirements.Break...
-
Subcontract Administrator Senior
3 days ago
Grand Prairie, Texas, United States Lockheed Martin Corporation Full timeJob SummaryWe are seeking a highly skilled Subcontract Administrator Senior to join our team at Lockheed Martin Corporation. As a key member of our Material Analyst and Buyer team, you will be responsible for tracking procurement efforts of minor materials and placing Purchase Orders as needed.Key ResponsibilitiesOrganize, plan, and direct all purchasing and...
-
IT Development Senior Analyst
5 months ago
Grand Prairie, Texas, United States Atechstar Full timeJob descriptionResponsibilities Analyze business requirements for development or implementation projects and translate into system requirements. Identify evaluate and design client compliant solutions for business consideration and undertake impact analysis of proposed solutions. Provide consultancy to business and act as a subject matter expert for specific...
-
Senior Financial Analyst
3 weeks ago
Grand Prairie, Texas, United States Randstad North America, Inc. Full timePosition OverviewAs a Senior Accountant, you will be responsible for managing all facets of the accounting cycle. This includes:Accounts Payable: Overseeing the processing of invoices and payments.Accounts Receivable: Managing incoming payments and ensuring accurate record-keeping.General Ledger Entries: Maintaining and updating the general ledger to reflect...
-
Senior Financial Analyst
3 weeks ago
Grand Prairie, Texas, United States Randstad Full timeJob Overview: The Senior Financial Accountant plays a crucial role in supporting the Controller in overseeing the organization's financial and accounting operations. This position entails generating comprehensive financial reports, forecasting fiscal performance, and rectifying discrepancies in financial documentation.Location: Grand Prairie, TexasJob Type:...
-
Reimbursement Analyst I
22 hours ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timeJob Summary: We are seeking a highly skilled Reimbursement Analyst I to join our team at the Texas Department of Aging & Disability Services. As a key member of our Provider Finance Department, you will play a critical role in ensuring the accuracy and efficiency of Medicaid reimbursement processes. Key Responsibilities: Provide technical guidance and...
-
Financial Analyst
23 hours ago
Grand Prairie, Texas, United States Lockheed Martin Corporation Full timeJob DescriptionLockheed Martin is seeking a highly skilled Financial Analyst to support contract Earned Value Management System (EVMS) setup and management, cost control and analysis, proposal preparation, and staffing. The selected candidate will be responsible for developing and tracking budgets, manpower forecasting, and Earned Value computation for...
-
Subcontract Administrator Senior
21 hours ago
Grand Prairie, Texas, United States Lockheed Martin Corporation Full timeJob DescriptionYou will be the Subcontract Administrator Senior for the Guided Multiple Launch Rocket System (GLMRS) Material Analyst Team. Our team is responsible for tracking the material availability of all minor material feeding the GMLRS builds.Key ResponsibilitiesOrganize, plan, and direct all purchasing/material activities including general...
-
Cyber Security Analyst – CSOC
2 months ago
Grand Prairie, Texas, United States Cognizant Full timeJob Title- Cyber Security Analyst – CSOC Location - Remote Role Responsibilities: • Responsible for monitoring Security events from SIEM, Threat Intelligence, end use notifications, etc to determine security risk and respond accordingly. • Follow established processes, procedures & SLAs to respond and to document analysis of security events. •...
-
Contract Specialist II
7 days ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timeJob Description:The Texas Department of Aging & Disability Services seeks a highly qualified Contract Specialist II to join our team in the Community Services (CS), Community Care Services (CCS), Community Care Services Contracts (CCSC) Section. As a key member of our team, you will be responsible for performing complex contract management work, including...
-
Healthcare Provider Liaison
1 week ago
Grand Prairie, Texas, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Provider Relationship Account Manager to join our team at Elevance Health. This role will be responsible for developing and maintaining positive relationships with our provider community, ensuring quality, accessible, and comprehensive service delivery.Key ResponsibilitiesProvider Relationship Development: Develop and...
-
Provider Relationship Account Manager
7 days ago
Grand Prairie, Texas, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Provider Relationship Account Manager to join our team at Elevance Health. As a key member of our organization, you will be responsible for developing and maintaining positive relationships with our provider community.Key ResponsibilitiesProvider Relationship Development: Develop and maintain strong relationships with our...
-
Medicaid Reimbursement Analyst I
2 weeks ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timePosition Overview: Reimbursement Analyst IRole Summary:The Reimbursement Analyst I (RA I) is responsible for delivering consultative services, developing policies, and conducting technical analyses under the supervision of the Manager V within the Acute Care School-based Medicaid Resource and Training team (SMRT) at the Texas Department of Aging & Disability...
-
Medicaid Reimbursement Analyst I
2 weeks ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timePosition Overview: Reimbursement Analyst I in the Provider Finance DepartmentRole Summary:The Reimbursement Analyst I (RA I) plays a vital role in delivering consultative services, developing policies, and conducting data analysis under the supervision of the Manager V within the Acute Care School-based Medicaid Resource and Training team (SMRT) in the...
-
Medicaid Reimbursement Analyst I
2 weeks ago
Grand Prairie, Texas, United States Texas Department of Aging & Disability Services Full timePosition Overview: Reimbursement Analyst IRole Summary:The Reimbursement Analyst I (RA I) plays a vital role in providing analytical support, policy formulation, and data management under the supervision of the Manager V within the Acute Care School-based Medicaid Resource and Training team (SMRT) at the Texas Department of Aging & Disability Services.This...