Elevance Health · 1 day ago
Provider Contract Cost of Care Analyst Senior
IN-INDIANAPOLIS, 220 VIRGINIA AVE
Full-time
Hybrid
Mid, Senior Level
3+ years expElevance Health is a health company dedicated to improving lives and communities. The Provider Contract Cost of Care Analyst Senior is responsible for providing analytical support to reduce claims costs and improve quality of care through various analytical techniques and modeling.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
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
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
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
SQL experience preferred
SAS experience preferred
Healthcare background 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
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)
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
2026-01-23
2026-01-16
Company data provided by crunchbase