Elevance Health · 4 days ago
Provider Contract/Cost of Care Sr
Indianapolis, IN
Contract
Hybrid
Mid, Senior Level
3+ years expElevance Health is a health company dedicated to improving lives and communities, and they are seeking a Provider Contract/Cost of Care Sr to provide analytical support to the Cost of Care organizations. The role focuses on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction through various data analyses and cost-saving strategies.
Health CareHealth InsurancePersonal HealthWellness
No H1B
Responsibilities
Performs varied data analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; 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; and 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
Participates on project team involved with enterprise wide initiatives
Qualification
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
Healthcare Industry highly preferred
High proficiency in SQL and Excel
Data analytics within healthcare industry
Exposure to Python or R
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
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-16
2026-01-12
2026-01-11
Company data provided by crunchbase