Sr. Analytics Consultant, Provider

• Position ID #: MCO080124VIR
• Location: Various Cities
• Required Education: Bachelor's Degree
• Salary Range: $100,000 - $140,000
• Required Experience: Five to Seven Years (5-7)
• Commission Range: N/A
• Other: Bonus, Benefits
• Required Travel: N/A
• Relocation: N/A
• 
  Description:
  This Organization is a healthcare enablement company that is transforming the way health care is accessed and delivered. Its innovative, customizable, sustainable solutions encourage patient activation and improve the quality of care — all at lower cost. They effect impactful change for self-funded plan sponsors, health systems, and TPAs through our extensive health care expertise
   
  The Senior Analytics Consultant – Provider Contracts has responsibility for the strategic development and execution of a quality program for system configuration and changes. This role will be deeply involved in the analytical processes that drive executive business decisions related to its provider network and health plan management services. .
   
  The position will be based remotely.
   
  Some of the position expectations and functions include:
  •    Collaborate with Network Management and Contracting to provide ongoing analytical support.
  •    Develop and maintain forecasting models, and analytical reports and dashboards.
  •    Support financial and actuarial components of product and network development, including evaluation of new products.
  •    Conduct analysis specific to the medical economics underlying provider financial arrangements in support of new business and client and provider retention efforts.
  •    Provide financial analysis for more complex and/or larger health plan clients, such as alternative provider network configurations.
  •    Perform medical cost trend analysis and identify cost savings opportunities.
  •    Evaluate provider networks based on available benchmarks and published data sources.
   
  The position offers a base salary ranging from $100,000 - $140,000 (depending upon experience), and includes an annual bonus and benefits.
• 
  Requirements:
  •    Bachelor's Degree in Mathematics, Statistics, Finance, Computer Science, Information Systems, Data Science, Analytics, Engineering, Economic Sciences, Actuarial Science or related field.
  •    4-6 years of experience in an analytical or actuarial focused capacity at a health plan or consulting firm required, preferably in a managed care setting.
  •    Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required.
  •    Proficiency in MS Excel required.
  •    Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau) a plus.
  •    Experience with evaluating carrier rates using external sources (i.e. MRFs) a plus.
  •    Experience with alternative payment models (i.e. value-based payment models, bundled payment arrangements) a plus.
  •    Ability to explain technical concepts to a non-technical audience.
  •    Ability to effectively manage and prioritize several concurrent projects
   
  Please forward resumes, as an attachment, in MS Word- format to: phoenixhs92@gmail.com