Payer Analytics Analyst

Payer Analytics Analyst JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH

JOB_DESCRIPTION.SHARE.HTML Chicago, Illinois

Surgical Care Affiliates

Healthcare Economics

Regular

Full-time

1

USD $55,000.00/Yr.

USD $70,000.00/Yr.

36204

Job Description Overview Today, SCA Health has grown to 14,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge. The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU. Responsibilities SCA Health is currently seeking a Payer Analytics Analyst to join the Payer Analytics Team . We are seeking a candidate who : Is inquisitive

Has a demonstrated analytical ability

Has an aptitude for understanding, utilizing and building complex formulas

Is a team player

Is driven to learn This position will be remote with some travel. Responsibilities: Partner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive analytical models that reflect these inputs

Collaborate with regional business development leaders to evaluate potential acquisitions, using a combination of external and internal claims data

Support cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboards

Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue

Develop effective quality control processes to ensure data integrity

Assist in building the Managed Care budget for future years together with Payer Engagement contract negotiators.

Periodically review and provide guidance on facility charge masters

Review claims data to ensure accurate and adequate payment

Ask thoughtful questions about execution and business context across different lanes

Present ideas and participate in meetings - Actively seek new opportunities to contribute

Uphold and practice the principles and policies of the SCA Compliance program Qualifications Bachelor's degree in Business Administration , Finance, Accounting, or related field

Minimum of 2 years of experience in Healthcare or related field

Travel to health plan meetings, company meetings, center visits, etc. (10%)

Proficient in Excel and experience with SQL and Tableau a plus

Acute attention to detail and strong analytical and critical thinking skills

Strong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholders

USD $55,000.00/Yr. USD $70,000.00/Yr. PI21ef922f6758-35216-35523675