SCA Health
Payer Analytics Analyst
SCA Health, Myrtle Point, Oregon, United States, 97458
Payer Analytics Analyst
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Chicago, IllinoisSurgical Care AffiliatesHealthcare EconomicsRegularFull-time1USD $55,000.00/Yr.USD $70,000.00/Yr.36204Job 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 inquisitiveHas a demonstrated analytical abilityHas an aptitude for understanding,
utilizing
and building complex formulasIs a team playerIs 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 inputsCollaborate with regional business development leaders to evaluate potential acquisitions, using a combination of external and internal claims dataSupport cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboardsHelp design and implement improvements to established or proposed reimbursement process flows
to
maximize potential revenueDevelop effective quality control processes to ensure data integrityAssist
in building the Managed Care budget for future years together with Payer
Engagement contract negotiators.Periodically review and provide guidance on facility charge mastersReview claims data to ensure
accurate
and adequate paymentAsk thoughtful questions about execution and business context across different lanesPresent ideas and
participate
in meetings - Actively seek new opportunities to contributeUphold and practice the principles and policies of the SCA Compliance program
Qualifications
Bachelor's degree in Business Administration
, Finance, Accounting, or related fieldMinimum of 2 years of experience in
Healthcare
or related fieldTravel to health plan meetings, company meetings, center visits, etc. (10%)Proficient in Excel and experience with SQL and Tableau a plusAcute attention to detail and strong analytical and critical thinking skillsStrong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholdersUSD $55,000.00/Yr. USD $70,000.00/Yr.
PIafaaf9e42a8c-35216-35523675
JOB_DESCRIPTION.SHARE.HTML
CAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTML
Chicago, IllinoisSurgical Care AffiliatesHealthcare EconomicsRegularFull-time1USD $55,000.00/Yr.USD $70,000.00/Yr.36204Job 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 inquisitiveHas a demonstrated analytical abilityHas an aptitude for understanding,
utilizing
and building complex formulasIs a team playerIs 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 inputsCollaborate with regional business development leaders to evaluate potential acquisitions, using a combination of external and internal claims dataSupport cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboardsHelp design and implement improvements to established or proposed reimbursement process flows
to
maximize potential revenueDevelop effective quality control processes to ensure data integrityAssist
in building the Managed Care budget for future years together with Payer
Engagement contract negotiators.Periodically review and provide guidance on facility charge mastersReview claims data to ensure
accurate
and adequate paymentAsk thoughtful questions about execution and business context across different lanesPresent ideas and
participate
in meetings - Actively seek new opportunities to contributeUphold and practice the principles and policies of the SCA Compliance program
Qualifications
Bachelor's degree in Business Administration
, Finance, Accounting, or related fieldMinimum of 2 years of experience in
Healthcare
or related fieldTravel to health plan meetings, company meetings, center visits, etc. (10%)Proficient in Excel and experience with SQL and Tableau a plusAcute attention to detail and strong analytical and critical thinking skillsStrong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholdersUSD $55,000.00/Yr. USD $70,000.00/Yr.
PIafaaf9e42a8c-35216-35523675