Payer Analytics Specialist

1 week ago

Chicago Illinois, United States SCA Health Full time
About SCA Health

SCA Health is a dynamic organization that has grown to 14,000 teammates who care for 1 million patients each year. We support physician specialists holistically in many aspects of patient care, aligning physicians, health plans, and health systems around a common goal: delivering high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

Job Summary

We are seeking a Payer Analytics Analyst to join our Payer Analytics Team. As a key member of our team, you will partner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive analytical models that reflect these inputs.

Responsibilities
  • Partner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive 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 development, implementation, and maintenance of operational reports and analytical dashboards.
  • Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue.
  • Develop effective quality control processes to ensure data integrity.
  • Assist in building the Managed Care budget for future years together with Payer Engagement contract negotiators.
  • Periodically review and provide guidance on facility charge masters.
  • Review claims data to ensure accurate and adequate payment.
  • Ask thoughtful questions about execution and business context across different lanes.
  • Present ideas and participate in meetings - Actively seek new opportunities to contribute.
  • Uphold and practice the principles and policies of the SCA Compliance program.
Requirements
  • Bachelor's degree in Business Administration, Finance, Accounting, or related field.
  • Minimum of 2 years of experience in Healthcare or related field.
  • Travel to health plan meetings, company meetings, center visits, etc. (10%).
  • Proficient in Excel and experience with SQL and Tableau a plus.
  • Acute attention to detail and strong analytical and critical thinking skills.
  • Strong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholders.

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