87 applicants

Company

AMSURG · 1 day ago

Sr. Analyst Strategic Pricing & Analytics - Health Plan Contract Management

United States

Full-time, Contract

Remote

Senior Level

5+ years exp

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Responsibilities

Support the preparation, execution, and delivery of extensive financial analyses and models of proposed contracted rates for payer negotiations, using a variety of business intelligence tools and platforms, inclusive of MS Excel, SQL, Power BI, and Tableau reporting.

Support the coordination with various Business Intelligence and Data Integration teams to ensure consistent, comprehensive enterprise-wide data sets for use in the analysis of managed care contract negotiations.

Support integration of reporting/visualization requirements and data into an analytics platform.

Manage the complete analysis of large, complex data sets.

Review, interpret, and analyze managed care contracts, and update database(s) by entering new and updated information and ensuring data quality, validity, and utility.

Effectively coordinate and communicate within the AMSURG HPR team and cross-functionally with Business Operations (RCM), Operations and Finance Departments to ensure timely communication of managed care data / general information and implementation of HPR team’s overarching strategy.

Refresh, review/quality check, and maintain existing analytic reports to ensure data is current and accurate.

Oversee and assist in the design, development, and implementation of analytic ad hoc reports.

Design and complete annual analysis to evaluate the impact of CMS fee schedule updates on AMSURG’s Medicare revenue to inform annual budget planning.

Analyze impact of new fee schedules / payer groupers on reimbursement at the CPT code level as well as in aggregate based on AMSURG business needs.

Research, analyze, organize, and maintain various Payer Fee schedules and Grouper crosswalks.

Perform reimbursement analysis using various analytic tools for special departmental projects as needed.

Adhere to all company policies and procedures, including Information Security Policies and ensure that AMSURG remains as secure as possible.

Regular and reliable attendance is required.

Other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Financial AnalysisData AnalysisSQLPower BITableauExcelManaged CareContract ManagementReimbursement MethodologiesStatistical ModelingHealthcare Knowledge

Required

5+ years’ relevant working experience; equivalent relevant experience will be accepted in lieu of a degree

Minimum of 5+ years working in a combination of managed care / payer contract negotiations / contract management and/or managed care / payer rate modeling

Experience building financial and statistical models, analyzing data, and translating analysis into specific, targeted actions that drive results

Experience in reimbursement methodologies (including Medicare/Medicaid and other government payors), revenue cycle, statistical modeling, financial reporting, contract management systems and/or data analytics

Experience rate modeling and analyzing rate methodologies for outpatient surgery (including ambulatory surgery centers), physician payments, and/or anesthesia services

Expertise with Microsoft Office applications, with advanced Excel skills including working with VLookUps and complex formulas

Demonstrated expertise with complex and large volumes of data using business intelligence tools and platforms, i.e., SQL, Power BI, and Tableau reporting

Excellent communication skills both on the telephone and in person

Strong critical thinking and problem solving skills enabling the individual to address moderate to highly complex problems without supervision

Organized and detail oriented with excellent follow through ability

Able to handle and prioritize multiple tasks while working in a fast paced and dynamic environment

Reliable, team-oriented and pleasant, with excellent interpersonal skills

Relies on extensive experience and judgment to plan and accomplish goals

Able to exercise good judgment and positively influence others, including handling confrontations with poise and efficiency

Based on business need, the ability to work a flexible schedule including some evenings (and weekends on rare occasions)