SCA Health · 5 hours ago

Senior Payer Analytics Analyst

United States

Full-time

Remote

Mid, Senior Level

$68K/yr - $85K/yr

3+ years exp

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Responsibilities

Partner with contract negotiators to identify key variables and preliminary strategies for upcoming projects, 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.

Develop effective quality control processes to ensure data integrity

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

Retrieve, organize, and manipulate data from the Enterprise Data Warehouse and other databases to prepare data for reporting and analysis. Deliver actionable, supportable findings within tight deadlines and changing requirements.

Uphold and practice the principles and policies of the SCA Compliance program

Qualification

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Healthcare AnalyticsMS SQL ServerT-SQLHealthcare Claims DataActuarial ScienceMathematicsStatisticsEconomicsExcelClinical Code KnowledgeManaged Care Contract AnalysisTableau