Senior Provider Contract Cost of Care Analyst
4 weeks ago
Job Title: Senior Provider Contract Cost of Care Analyst
Location: This position will work a hybrid model (remote and in-office one day per week). Ideal candidates will live within 50 miles of one of our locations in various cities across the United States.
Job Summary:
The Senior Provider Contract Cost of Care Analyst provides analytical support to the Cost of Care and/or Provider Contracting organizations. The primary focus is 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 the impact of proposed rates.
- Project different cost of savings targets based upon various analytics.
- Identify cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommend policy changes and claim's 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.
- Educate provider contractors on contracting analytics from a financial impact perspective.
- Recommend alternative contract language and may go on-site to provider premises during contract negotiations.
- Participate on project team involved with enterprise-wide initiatives.
Requirements:
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; or any combination of education and experience which would provide an equivalent background.
Preferred Skills:
Previous health insurance experience strongly preferred. Client-facing experience strongly preferred. Strong communication skills preferred. Quick learner and an effective team player preferred. Master's degree preferred. SAS, SQL, PowerPoint, Tableau, Power BI and Excel 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.
Our Culture:
We are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Benefits:
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.
Hybrid Workforce Strategy:
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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Equal Employment Opportunity:
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.
Accommodation:
Applicants who require accommodation to participate in the job application process may contact for assistance.
-
Senior Cost Manager
1 month ago
Chicago, Illinois, United States Turner & Townsend Full timeJob OverviewTurner & Townsend is seeking a seasoned Senior Cost Manager or Quantity Surveyor to provide commercial management, cost control, and estimating services on a global technology client's massive data center construction program.The ideal candidate will have excellent communication skills and be comfortable operating in a client-facing role.Key...
-
Senior Cost Manager
1 month ago
Chicago, Illinois, United States Turner & Townsend Full timeJob OverviewTurner & Townsend is seeking a seasoned Senior Cost Manager / Quantity Surveyor to provide cost control and estimating services on a leading technology client's large-scale data center construction program in Mount Pleasant, WI.This role can work a hybrid schedule with 3 days per week onsite required at the data center campus in Mount Pleasant,...
-
Senior Cost Manager
4 weeks ago
Chicago, Illinois, United States Turner & Townsend Full timeJob Description:Turner & Townsend is seeking an experienced Senior Cost Manager or Quantity Surveyor to provide commercial management, cost control, and estimating services on a global technology client's massive data center construction program.Responsibilities:Estimating and negotiating change orders throughout the construction lifecycle.Provide estimate...
-
Senior Cost Manager
4 weeks ago
Chicago, Illinois, United States Turner & Townsend Full timeJob Description:Turner & Townsend is seeking an experienced Senior Cost Manager / Quantity Surveyor to provide cost control and estimating services on a leading technology client's large-scale data center construction program in Mount Pleasant, WI.Responsibilities:Estimating and negotiating change orders throughout the construction lifecycle.Provide estimate...
-
Senior Cost Manager
4 weeks ago
Chicago, Illinois, United States Turner & Townsend Full timeJob SummaryWe are seeking an experienced Senior Cost Manager / Quantity Surveyor to provide cost control and estimating services on a leading technology client's large-scale data center construction program in Mount Pleasant, WI.Key ResponsibilitiesEstimating and negotiating change orders throughout the construction lifecycle.Provide estimate and cost...
-
Senior Operations Analyst
4 weeks ago
Chicago, Illinois, United States Uline Full timeSenior Operations AnalystUline is seeking a Senior Operations Analyst to join our team. As a Senior Operations Analyst, you will be responsible for reviewing, auditing, and summarizing operational data to provide executive summaries with recommendations to Uline's President.Key Responsibilities:Review and analyze operational data to identify trends and areas...
-
Senior Cost Manager
4 weeks ago
Chicago, Illinois, United States Turner & Townsend Full timeJob SummaryWe are seeking an experienced Senior Cost Manager or Quantity Surveyor to provide commercial management, cost control and estimating services on a global technology client's massive data center construction program.Key ResponsibilitiesEstimating and negotiating change orders throughout the construction lifecycle.Provide estimate and cost planning...
-
Senior Technical Analyst
1 month ago
Chicago, Illinois, United States Guidehouse Full timeJob Summary:Guidehouse is seeking a highly skilled Senior Technical Analyst to join our team. As a Senior Technical Analyst, you will be responsible for directly supporting the ERP technical environment on a day-to-day basis, including performing and leading solution analysis, design, development, coding, testing, implementation, maintenance, and...
-
Senior Financial Analyst
4 weeks ago
Chicago, Illinois, United States Lovet Pet Health Care Full timeSenior Financial AnalystLovet Pet Health Care is seeking a highly skilled Senior Financial Analyst to join our team. As a key member of our finance department, you will play a critical role in optimizing the performance of our internal financing company, Lovet Pay.Key Responsibilities:Collaborate with our data and analytics team to compile and cleanse data...
-
Senior Programmer/Analyst
1 month ago
Chicago, Illinois, United States City of Chicago Full timeJob Summary:This is a senior-level programmer analyst position in the Office of Public Safety Administration. The successful candidate will be responsible for revising and developing existing and proposed applications for distributed and centralized processing systems.Key Responsibilities:Analyze current business operations by interviewing users and...
-
Senior Financial Analyst
4 weeks ago
Chicago, Illinois, United States DDG Full timeAbout the job Senior Financial AnalystWe are seeking a highly qualified and experienced Senior Financial Analyst to join our growing finance team at DDG.The Senior Financial Analyst will play a critical role in the day-to-day financial operations of our organization, ensuring accuracy, compliance, and efficiency in financial reporting and management.This...
-
Board Certified Behavior Analyst
4 weeks ago
Chicago, Illinois, United States QBS, provider of Safety-Care Full timeJob DescriptionSafety-Care Master Trainer (BCBA)***Must be able to travel 60% or more overnight in any given workweek, 2-3 weeks a month.***Must be a Board-Certified Behavior Analyst (BCBA)***Must live within 60 minutes of the O'Hare or Midway Airports***Must live within 60 minutes of University CenterUpdated Salary RangeROLE OVERVIEWThe primary role of...
-
Senior Business Analyst
4 weeks ago
Chicago, Illinois, United States CIBC Full timeWe are seeking a talented Senior Business Analyst to join our team at CIBC. As a Senior Business Analyst, you will contribute to projects that impact the business through in-depth research analysis, interpretation, documentation, and advice on moderately complex business information.The ideal candidate will have a degree/diploma in Computer Science,...
-
Financial Analyst
1 week ago
Chicago, Illinois, United States WTS Energy Full timeWTS Energy is seeking a skilled Contracts & Operations Financial Analyst to contribute to their team in the international Oil, Gas, and Renewable Energy industries. The ideal candidate will have a bachelor's degree in Accounting or Finance and 2 years of experience in Construction Accounting or Finance.ResponsibilitiesManage multiple general...
-
Senior Financial Analyst
4 weeks ago
Chicago, Illinois, United States The LaSalle Group Full timeThe LaSalle Group is seeking a highly skilled Senior Financial Analyst to join their team. This role is critical in ensuring the accuracy and integrity of financial information, providing strategic financial guidance, and supporting the overall financial health of the organization.Key Responsibilities:Prepare, review, and analyze financial statements to...
-
Senior Financial Analyst
4 weeks ago
Chicago, Illinois, United States SRAM Full timeAs a Senior Financial Analyst at SRAM, you will play a key role in providing the organization with robust, timely, and accurate financial analysis and insights to support better decision-making.Key Responsibilities:Support the annual financial planning process focused on operating expenses and capital expenses.Prepare monthly and quarterly reporting and...
-
Senior System Analyst
4 weeks ago
Chicago, Illinois, United States Health Care Service Corporation Full timeJob SummaryAs a Senior System Analyst at Health Care Service Corporation, you will play a critical role in designing and implementing technical solutions that drive business growth and improve operational efficiency. This is an exciting opportunity to leverage your technical expertise and business acumen to make a meaningful impact on our organization.Key...
-
Senior IT Contracts Attorney
1 month ago
Chicago, Illinois, United States ACC - Association of Corporate Counsel Full timeJob Title: Senior IT Contracts AttorneyCapgemini's Legal Department is seeking a highly skilled Senior IT Contracts Attorney to join their team. As a key member of the Legal team, this individual will play a crucial role in contract review, drafting, and negotiation.Key Responsibilities:Draft and negotiate complex contracts, including outsourcing agreements,...
-
Senior Supply Chain Analyst
4 weeks ago
Chicago, Illinois, United States Generis Tek Inc Full timeJob Title: Senior Supply Chain AnalystJob Summary:Generis Tek Inc is seeking a skilled Senior Supply Chain Analyst to join our team. As a key member of our supply chain team, you will be responsible for analyzing data, creating forecasts, and developing plans to drive business growth.Key Responsibilities:Analyze data to identify trends and opportunities for...
-
Senior System Analyst
4 weeks ago
Chicago, Illinois, United States Venteon Full timeJob Title: Senior System AnalystJob Summary:Venteon is seeking a highly skilled Senior System Analyst to join our team. As a Senior System Analyst, you will be responsible for analyzing, coding, configuring, unit testing, and promoting complex electronic platform artifacts to various electronic platforms. You will also review electronic platform vendor...
