Director, Provider Network - Analytics

Lead and oversee complex healthcare analytics initiatives to drive strategic planning, operational performance, and favorable financial outcomes aligned with company objectives. Apply advanced analytical and problem-solving skills to large, complex healthcare datasets, identifying trends and opportunities that inform enterprise decisions. Partner with senior and executive leadership as a trusted analytics advisor, supporting both internal decision-making and client engagements, clearly communicating insights, risks, and recommendations. Develop and deliver executive-level presentations, dashboards, and strategic summaries. Utilize advanced Microsoft Excel skills (including complex formulas, pivot tables, financial modeling, and data analysis) to support contracting, pricing, and reimbursement analytics. Interpret and analyze healthcare utilization, reimbursement, and financial data using CPT coding knowledge, particularly as it relates to laboratory and payer contracts. Support analytics related to healthcare contracting, including pricing analysis, utilization trends, performance monitoring, and margin optimization. Collaborate cross-functionally with finance, contracting, clinical, and operational teams to ensure data-driven decision-making across the organization. Establish best practices for coding and pricing governance, and data quality. Requirements 10+ years of progressive experience in healthcare analytics, provider network management, healthcare contracting, reimbursement analysis, or related healthcare business functions Experience driving strategic initiatives, leading cross-functional teams, and engaging executive stakeholders. Demonstrated advanced analytical and problem-solving capabilities in evaluating healthcare coding, pricing, reimbursement, and claims data to support strategic business decisions. Expert-level proficiency in Microsoft Excel, including financial modeling, data manipulation, and advanced analytical techniques. Strong working knowledge of healthcare claims data, reimbursement analysis, and CPT/HCPCS coding, including the application of coding methodologies to healthcare analytics, reimbursement optimization, pricing strategies, and provider contracting. Exceptional communication and presentation skills, with the ability to effectively influence senior leaders and executive stakeholders through clear, concise, and data-driven insights. Exceptional written and verbal communication skills, with experience producing executive-level materials and presentations. Proven ability to synthesize and translate complex technical and analytical information into strategic, actionable recommendations for executive leadership and key stakeholders. Demonstrated success leading large-scale analytics initiatives and influencing senior leaders and executive stakeholders to achieve organizational objectives. Core Competencies Expertise in healthcare analytics, including advanced proficiency in Microsoft Excel for financial modeling and data analysis, alongside strong knowledge of CPT coding and reimbursement strategies. Proven ability to lead cross-functional teams and communicate complex insights to executive stakeholders effectively. Highest-signal resume keywords Healthcare Analytics Microsoft Excel Proficiency CPT Coding Knowledge Strategic Initiative Leadership Executive Communication Skills ATS Optimization Keywords Hard Skills Healthcare Analytics Financial Modeling Data Analysis CPT Coding Reimbursement Analysis Pricing Strategies Claims Data Evaluation Data Manipulation Performance Monitoring Margin Optimization Soft Skills Problem-Solving Communication Presentation Skills Influencing Skills Collaboration Industry Keywords Healthcare Contracting Provider Network Management Utilization Trends Data Quality Governance Cross-Function Collaboration #J-18808-Ljbffr Jobtailor