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Senior Analyst - Healthcare Provider Contracts - Remote

Posted 3 days ago
Data Analysis
Full Time
USA

Overview

The Senior Analyst will be responsible for the development, negotiation, monitoring, and reporting of contractual agreements with healthcare providers and institutions, working under the direction of the Director or Senior Manager.

In Short

  • Support provider negotiations and regulatory submissions.
  • May serve as a project manager for related projects.
  • Design and generate financial analytics focusing on medical cost and utilization.
  • Create actionable information based on detailed analytics.
  • Translate technical analytics into concise recommendations.
  • Identify cost avoidance and recovery opportunities.
  • Perform financial analytics for various departments.
  • Lead development of new reimbursement strategies.
  • Communicate ongoing project status to customers.
  • Other duties as assigned.

Requirements

  • Bachelors in Business Administration, Finance, or Health Services; Masters preferred.
  • 5-7 years of experience in managed care or provider environment.
  • Advanced Excel skills; proficiency in SAS/SQL required.
  • In-depth knowledge of managed care concepts.
  • Solid knowledge of healthcare claims data and coding schemes.
  • Specialized technical and analytical skills in healthcare reimbursement.
  • Strong analytic and problem-solving skills.
  • Excellent interpersonal and collaboration skills.

Benefits

  • Medical, dental, and vision coverage.
  • Retirement plans.
  • Paid time off.
  • Employer-paid life and disability insurance.
  • Tuition program.
  • Well-being benefits.
  • Comprehensive benefits for career and health support.
P32HS Point32Health Services logo

P32HS Point32Health Services

Point32Health is a leading nonprofit health and wellbeing organization dedicated to delivering personalized healthcare experiences to communities. Building on the rich heritage of its founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, Point32Health offers a diverse range of health plans and innovative tools to help individuals navigate their health journeys. The company is committed to high-quality, affordable healthcare and improving the overall health and wellness of its members while fostering healthier communities across the country. With a focus on diversity, equity, inclusion, and health equity, Point32Health strives to empower individuals to achieve their health goals and is recognized as one of the Top Places to Work in New England.

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