Payer Analytics Analyst

Job Description

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.

SCA Health is currently seeking a

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.

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