Cortica
Contract Analyst
Cortica, San Diego, California, United States, 92189
Cortica is looking for a
Contract Analyst
to join its growing team!
In this role, you will design, develop, interpret, and present analytics to support payer negotiations and drive overarching strategic decisions related to payer relationships and contracting. The Contract Analyst will examine Cortica's contract position across multiple markets and payers and compare it to both internal and external benchmarks, and will pull claims data from our data warehouse, interpret it, visualize and present findings to leadership, and use results to drive value-based contract negotiations with payers.
Cortica is a rapidly growing healthcare company pioneering the most effective treatment methods for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care - one child, one family, one community at a time. Ultimately, we envision a wo,,rld that cultivates the full potential of every child. At Cortica, every team member is instrumental in helping us achieve our mission!
Our culture and values guide how we work and treat one another. Cortica celebrates diversity and fosters an inclusive environment, seeking ideas and opinions from everyone on the team. We safeguard equal rights and respect for all individuals, regardless of race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry, veteran status or other applicable, legally protected characteristics. All Cortica employment decisions are made based on an individual's qualifications and ability to successfully perform the job responsibilities.
What will you do?
Work with leadership to develop analytic models to respond to proposals and inform strategy for payer contracting, including internal and external benchmark comparisons (Medicare fees, Price Transparency data, etc.). Manage Payer Contracting analytics process by serving as an analytic participant in individual payer negotiations (especially value-based contracts) as well as internal overarching discussions about payer contracting. Use PowerBI or other analytic programs to analyze data from the Data Warehouse, build models for payer contract negotiations, and create visualizations for leadership. Research payer market share, products and contracting processes to provide perspective on the strategy for expansion into new markets. Evaluate the profitability of payor contracts; lead development of financial models to project financial impact of value-based contracts and for the market overall. Work closely with revenue cycle, finance, and other partner departments to ensure contract terms are understood and executed accurately. Develop and deliver concise, easy-to-understand, data-based recommendations to management to assist with strategy development and decision making. Perform quality checks on performed analyses and utilize internal benchmarks to verify the results. Develop analytics infrastructure including reports and dashboards supporting financial performance of contracts. We'd love to hear from you if:
You hold a bachelor's degree or equivalent in Statistics, Mathematics, Economics, Finance, healthcare administration or related field; master's degree preferred. You bring 5+ years of experience with healthcare data analysis; managed care or value-based contracting experience preferred. You are proficient with Excel and data visualization software (e.g., Power BI).
Your Compensation & Benefits
Cortica cares deeply about the well-being of each member of our team, and we have created a passionate, caring, and growth-minded culture that helps teammates thrive! As a Cortica teammate, we'll support your well-being through medical, dental, and vision insurance, a 401(k) plan with company matching and rapid vesting, paid holidays and wellness days, life insurance, disability insurance options, tuition reimbursements for professional development and continuing education, and referral bonuses. We value you and the experience you bring to your role, and are proud to provide you with a compensation and benefits package designed to enhance all aspects of your life.
The base pay range for this opening is
$93,777
to
$117,222 annually.
According to your skill level, relevant experience, education level, and location, you will receive compensation that fits appropriately within the range.
EOE. This posting is not meant to be an exhaustive list of the role and its duties.
#CorpCareers
At Cortica, we are committed to protecting your personal information in compliance with applicable federal and state law. Please review our Privacy Notice to understand how your data is collected, used, and protected. For more details, click the link below. [Privacy Notice
]
** For Individuals who reside and work in California**
For driving roles:
This position will require successfully completing a post-offer background check and motor vehicle report. Qualified candidates with criminal history and/or driving violations will be considered and are not automatically disqualified, consistent with applicable federal law, state law (the California Fair Chance Act), and local ordinances (San Francisco Fair Chance Ordinance, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County's Fair Chance Ordinance for Employers).
For non-driving roles:
This position will require successfully completing a post-offer background check. Qualified candidates with criminal history will be considered and are not automatically disqualified, consistent with applicable federal law, state law (the California Fair Chance Act), and local ordinances (San Francisco Fair Chance Ordinance, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County's Fair Chance Ordinance for Employers).
Fair Chance Ordinance (Los Angeles, CA)
Contract Analyst
to join its growing team!
In this role, you will design, develop, interpret, and present analytics to support payer negotiations and drive overarching strategic decisions related to payer relationships and contracting. The Contract Analyst will examine Cortica's contract position across multiple markets and payers and compare it to both internal and external benchmarks, and will pull claims data from our data warehouse, interpret it, visualize and present findings to leadership, and use results to drive value-based contract negotiations with payers.
Cortica is a rapidly growing healthcare company pioneering the most effective treatment methods for children with neurodevelopmental differences. Our mission is to design and deliver life-changing care - one child, one family, one community at a time. Ultimately, we envision a wo,,rld that cultivates the full potential of every child. At Cortica, every team member is instrumental in helping us achieve our mission!
Our culture and values guide how we work and treat one another. Cortica celebrates diversity and fosters an inclusive environment, seeking ideas and opinions from everyone on the team. We safeguard equal rights and respect for all individuals, regardless of race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry, veteran status or other applicable, legally protected characteristics. All Cortica employment decisions are made based on an individual's qualifications and ability to successfully perform the job responsibilities.
What will you do?
Work with leadership to develop analytic models to respond to proposals and inform strategy for payer contracting, including internal and external benchmark comparisons (Medicare fees, Price Transparency data, etc.). Manage Payer Contracting analytics process by serving as an analytic participant in individual payer negotiations (especially value-based contracts) as well as internal overarching discussions about payer contracting. Use PowerBI or other analytic programs to analyze data from the Data Warehouse, build models for payer contract negotiations, and create visualizations for leadership. Research payer market share, products and contracting processes to provide perspective on the strategy for expansion into new markets. Evaluate the profitability of payor contracts; lead development of financial models to project financial impact of value-based contracts and for the market overall. Work closely with revenue cycle, finance, and other partner departments to ensure contract terms are understood and executed accurately. Develop and deliver concise, easy-to-understand, data-based recommendations to management to assist with strategy development and decision making. Perform quality checks on performed analyses and utilize internal benchmarks to verify the results. Develop analytics infrastructure including reports and dashboards supporting financial performance of contracts. We'd love to hear from you if:
You hold a bachelor's degree or equivalent in Statistics, Mathematics, Economics, Finance, healthcare administration or related field; master's degree preferred. You bring 5+ years of experience with healthcare data analysis; managed care or value-based contracting experience preferred. You are proficient with Excel and data visualization software (e.g., Power BI).
Your Compensation & Benefits
Cortica cares deeply about the well-being of each member of our team, and we have created a passionate, caring, and growth-minded culture that helps teammates thrive! As a Cortica teammate, we'll support your well-being through medical, dental, and vision insurance, a 401(k) plan with company matching and rapid vesting, paid holidays and wellness days, life insurance, disability insurance options, tuition reimbursements for professional development and continuing education, and referral bonuses. We value you and the experience you bring to your role, and are proud to provide you with a compensation and benefits package designed to enhance all aspects of your life.
The base pay range for this opening is
$93,777
to
$117,222 annually.
According to your skill level, relevant experience, education level, and location, you will receive compensation that fits appropriately within the range.
EOE. This posting is not meant to be an exhaustive list of the role and its duties.
#CorpCareers
At Cortica, we are committed to protecting your personal information in compliance with applicable federal and state law. Please review our Privacy Notice to understand how your data is collected, used, and protected. For more details, click the link below. [Privacy Notice
]
** For Individuals who reside and work in California**
For driving roles:
This position will require successfully completing a post-offer background check and motor vehicle report. Qualified candidates with criminal history and/or driving violations will be considered and are not automatically disqualified, consistent with applicable federal law, state law (the California Fair Chance Act), and local ordinances (San Francisco Fair Chance Ordinance, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County's Fair Chance Ordinance for Employers).
For non-driving roles:
This position will require successfully completing a post-offer background check. Qualified candidates with criminal history will be considered and are not automatically disqualified, consistent with applicable federal law, state law (the California Fair Chance Act), and local ordinances (San Francisco Fair Chance Ordinance, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County's Fair Chance Ordinance for Employers).
Fair Chance Ordinance (Los Angeles, CA)