Cost Containment Analyst jobs in United States
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HealthEZ · 1 month ago

Cost Containment Analyst

HealthEZ is seeking a highly analytical Cost Containment Analyst who combines public health knowledge with business intelligence expertise to identify, analyze, and implement cost-saving opportunities while maintaining quality outcomes. The role involves developing cost containment initiatives and collaborating with department leaders to drive financial performance and operational efficiency.

Health CareInsurance

Responsibilities

Identify and analyze cost-saving opportunities across programs, operations, and service delivery
Develop and monitor cost containment initiatives, tracking savings and ROI
Partner with department leaders to implement cost reduction strategies while maintaining quality standards
Create financial models to project the impact of proposed interventions and policy changes
Evaluate program effectiveness and cost-effectiveness of healthcare initiatives
Monitor health outcomes metrics in relation to expenditures
Support value-based care initiatives through data-driven insights
Design, develop, and maintain interactive dashboards and reports using Power BI
Write complex SQL queries to extract, transform, and analyze data from multiple sources
Leverage Microsoft Fabric for data integration, analytics, and reporting solutions
Create automated reporting systems to track key performance indicators and cost metrics
Translate complex data findings into clear, actionable insights for stakeholders
Ensure data integrity and accuracy across analytics platforms
Build and maintain data models that support cost containment analysis
Collaborate with IT and data teams to optimize data infrastructure
Develop predictive models to forecast costs and identify risk areas
Conduct ad hoc analyses to support strategic decision-making

Qualification

Power BISQLHealthcare analyticsMicrosoft FabricData visualizationHealthcare financeAnalytical thinkingCommunication skillsProject managementAttention to detail

Required

Bachelor's degree in healthcare administration, Business Analytics, Finance, or related field
Advanced proficiency in Power BI (DAX, Power Query, data modeling)
Strong SQL skills for data extraction and analysis
Experience with Microsoft Fabric or similar data platform solutions
Proficiency in Excel (pivot tables, VLOOKUP, advanced formulas)
Experience with data visualization best practices
3-5 years of experience in healthcare analytics, public health, or cost analysis
Proven track record of identifying and implementing cost-saving initiatives
Experience analyzing healthcare claims data, utilization patterns, or program costs
Background in public health programs, population health, or healthcare operation
Understanding of public health principles, metrics, and program evaluation
Knowledge of healthcare finance, reimbursement models, and cost accounting
Familiarity with healthcare data standards (ICD-10, CPT, HCPCS)
Strong analytical and problem-solving abilities
Excellent communication skills with ability to present complex data to non-technical audiences
Project management capabilities and attention to detail

Preferred

Master's degree preferred (MPH, MHA, MBA, or MS in Analytics/Data Science)
Experience with additional Microsoft tools (Azure, Power Automate, Power Apps)
Knowledge of statistical analysis software (R, Python, SAS)
Experience with healthcare quality metrics (HEDIS, CAHPS, clinical outcomes)
Understanding of value-based care models and alternative payment methodologies
Experience in government health programs (Medicaid, Medicare) or managed care

Benefits

Health benefits
Retirement plan (401k)
Paid time away
Paid leaves (including paid parental leave)
And more

Company

HealthEZ

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HealthEZ is an independent third-party administrator of employer-sponsored, self-funded medical plans.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2020-07-07Acquired

Leadership Team

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Catherine Vanden Plas
Chief Operating Officer
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Jim Wachtel MBA
Chief Revenue Officer (CRO)
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Company data provided by crunchbase