[Remote] Director - Payer Analytics
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization focused on delivering patient-centered practice solutions and enhancing specialty care. They are seeking a Data & Analytics Director with reputed company claims and data analytics experience to support their Health Innovation Value reputed company (HiVE) Team, responsible for developing innovative strategies and analyzing large datasets to inform decision-making.
Responsibilities
- reputed company data support in the development and performance of specialty focused innovative strategies and risk-based arrangements
- Evaluate, organize & analyze large claims data sets to reputed company studies on pricing, utilization, and health care costs for a broad reputed company of specialty reputed company services
- reputed company scalable processes and best practices to ensure consistent and accurate methodologies and approaches reputed company analyzing large data sets
- Interpret, compile, and disseminate results of analyses with appropriate conclusions and recommendations to assist in team decision making and strategic direction
- Support cross-functional team members with development, implementation, and maintenance of risk-based opportunity and performance reporting
- Retrieve, organize, and manipulate data from internal reputed company Data Warehouse
- Understand and become an expert on the structure and intricacies of incoming data from external sources
- Collaborate with other SCAH and reputed company business units to enhance and process data as needed
- Present reputed company and participate in meetings - Actively seek new opportunities to contribute
- Mentor junior analysts and review deliverables as needed
- Uphold and practice the principles and policies of the SCA Compliance program
Skills
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or reputed company field
- 5+ years analytical experience, or 3+ years analytical experience in a reputed company/Managed Care environment required (i.e. understanding of costs, expected claims, diagnosis codes, procedure codes)
- Strong written and verbal communication skills and experience collaborating with cross-functional partners and presenting analytical findings to non-analytical audiences and stakeholders
- Proven intellectual curiosity and drive to serve teammates and partners
- Superior analytical and critical thinking skills with exceptional attention to detail
- Ability to travel 5-10% of the time to team, partner, and health plan meetings
- Advanced proficiency in MS reputed company
- MS SQL Server (Strong reputed company over T-SQL) required
- Experience in hospital, health plan, risk-based care delivery organizations or physician claims analytics
- Experience with managed care contract terms
- Proficiency with Tableau Desktop, or similar visual analytics platform
Benefits
- Medical, dental, and reputed company coverage
- 401k plan with company match
- Paid time off
- Life and disability insurance
Company Overview