Senior Financial Systems Analyst - Hybrid, Medical School Financial Planning & Analysis
WashU IT
CognosERP
Provider Contracting and Reimbursement Analyst – Intermediate
Independent Health
full-time
Posted on:
Origin: • 🇺🇸 United States • New York
Visit company websiteSalary
💰 $62,500 - $75,000 per year
Job Level
Mid-LevelSenior
Tech Stack
CognosSQL
About the role
- The Provider Contracting & Reimbursement Analyst-Intermediate will analyze utilization, claims, membership, and cost data in support of Network Contract Management department and corporate strategic initiatives. The incumbent will be responsible for designing and using analytical tools, drawing statistically sound conclusions, and presenting results to management. The Analyst will interpret, analyze, and recommend courses of action to management as it relates to fair, equitable, and market competitive reimbursement designed to achieve value for the health plan, provider partners, and members. This individual will be responsible for designing and conducting analyses by applying independent judgment (e.g., making assumptions and identifying constraints of analyses), interpreting results, and making recommendations to management as it relates to assessing the impact of changes in reimbursement and representing hundreds of millions of dollars in annual expenditure. Analysis and research will be designed to support provider contract negotiations, assess the impact of potential alternative reimbursement models, improve Independent Health’s ability to deliver high quality, high value care, provide management with the ability to assess the impact of policy changes, government mandates, consolidations and mergers in the provider community.
Requirements
- Bachelor’s degree required. MBA or equivalent advanced degree preferred. An additional four (4) years of experience will be considered in lieu of degree. Three (3) years of analytics experience, or an advanced degree plus two years of experience (research/intern experience qualifies) required. Experience in data analysis, statistical analysis, business modeling or health care analytics/health informatics preferred. Highly proficient in Access, Excel, and other analytical tools/programs (e.g., SQL, SAS, Cognos). Strong understanding of the health care industry, health care economics, hospital, physician, and ancillary reimbursement methodologies preferred. Proven skills in statistical concepts, methodologies and applications as related to health care analytics and provider network management. Ability to frame questions that create value for business partners. Extensive experience in building and using statistically sound data modeling support tools to conduct trend analysis and determine cost and utilization drivers. Ability to define problems, collect data, establish facts, draw conclusions, transform data into actionable information and clearly present results to upper management. Attention to detail and skilled at data validation methodologies. Ability to work collaboratively with other departments. Excellent verbal and written communication skills. Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.
