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Cost of Care Analyst Senior-Analytics
2 months ago
Location: This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour commute of an Elevance Health location.
About the Role:The Extended Value Analytics and Optimization team is seeking a senior analyst to lead medical cost trend deep dives to uncover root-cause trend drivers and support initiative design for remediation. As a Cost of Care Analyst Senior-Analytics, you will provide analytical support to the Cost of Care and/or Provider Contracting organizations, focusing on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction.
Key Responsibilities:- Perform varied data analyses, including developing moderately complex ROI models and performing healthcare cost analysis to identify strategies to control costs.
- Project cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis.
- Prepare pre-negotiation analyses to support development of defensible pricing strategies.
- Perform modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic.
- Measure and evaluate the cost impact of various negotiation proposals.
- Research the financial profitability/stability and competitive environment of providers to determine impact of proposed rates.
- Project different cost of savings targets based upon various analytics.
Requires a 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 as well as experience in statistical analysis and healthcare modeling.
Preferred Skills:Master's degree preferred.
About Elevance Health: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.
What We Offer:We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Work Environment:Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
