Cost of Care Analyst Sr.

3 days ago

Tampa, Florida, United States Elevance Health Full time
Job Title: Provider Contract/Cost of Care Analyst Sr.

We are seeking a highly skilled Provider Contract/Cost of Care Analyst Sr. to join our team at Elevance Health. As a key member of our Cost of Care and/or Provider Contracting organizations, you will play a critical role in analytical support to drive business outcomes.

Key Responsibilities:
  • Perform varied data analyses to identify cost-saving opportunities and improve the quality of care.
  • Develop and implement ROI models and healthcare cost analysis to inform contract negotiations and pricing strategies.
  • Project cost increases in medical services using analytic techniques and multiple variable analysis.
  • Prepare pre-negotiation analyses to support the development of defensible pricing strategies and contract scenarios.
  • Measure and evaluate the cost impact of various negotiation proposals and recommend modifications as applicable.
  • Research the financial profitability and competitive environment of providers to determine the impact of proposed rates.
  • Project different cost of savings targets based on various analytics and identify cost of care savings opportunities.
  • Review results post-implementation to ensure projected cost savings are realized and recommend modifications as necessary.
  • 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.
Requirements:
  • BS/BA degree in Mathematics, Statistics, or related field.
  • Minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment.
  • Experience in statistical analysis and healthcare modeling.
Preferred Skills:
  • Master's degree.
  • Proficiency in SQL or SAS.
  • Proficiency in Microsoft Excel/Access.
  • Ability to work well with others.

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, and associates are required to work at an Elevance Health location at least once per week. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

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