Payer Analytics Specialist
4 weeks ago
We 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 preliminary strategies for upcoming negotiations
- Collaborating with regional business development leaders to evaluate potential acquisitions using a combination of external and internal claims data
- Supporting cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboards
- Designing and implementing improvements to established or proposed reimbursement process flows to maximize potential revenue
- Developing effective quality control processes to ensure data integrity
- Assisting in building the Managed Care budget for future years together with Payer Engagement contract negotiators
- Periodically reviewing and providing guidance on facility charge masters
- Reviewing claims data to ensure accurate and adequate payment
- Presenting ideas and participating in meetings, actively seeking new opportunities to contribute
- Upholding and practicing the principles and policies of the SCA Compliance program
Requirements include:
- 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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