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Elevance Health · 1 day ago

Provider Contract Cost of Care Analyst Senior

Indianapolis, IN

Contract

Hybrid

Mid, Senior Level

3+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Provider Contract Cost of Care Analyst Senior provides analytical support to the Cost of Care and/or Provider Contracting organizations, focusing on lowering claims costs and improving the quality of care while increasing member and provider network satisfaction.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction

Typically works with one provider type, e.g. physician, ancillary, or medical group

Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care

Performs varied data analyses which may include developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs

Measuring and evaluating the cost impact of various negotiation proposals

Researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates

Projecting different cost of savings targets based upon various analytics

Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings

Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable

Recommends standardized practices to optimize cost of care

Educates provider contractors on contracting analytics from a financial impact perspective

May recommend alternative contract language and may go on-site to provider premises during contract negotiations

Participates on project team involved with enterprise-wide initiatives

Qualification

Statistical analysisHealthcare modelingData analysisCost analysisProject management

Required

Requires BS/BA degree in Mathematics, Statistics, or related field

Minimum of 3 years experience in broad-based analytical, managed care payor or provider environment

Experience in statistical analysis and healthcare modeling

Any combination of education and experience which would provide an equivalent background

Preferred

Master's degree preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)