Provider Contract, Cost of Care Consultant

provides analytical support to the Cost of Care and/or Provider Contracting organizations focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction provides expert advice and analytic support to Medical Directors and management on cost-of-care issues works on large-scale initiatives with high dollar cost savings opportunities partners with provider contractors to develop a contracting strategy and support all aspects of the contract negotiation process creates and maintains databases to track business performance analyzes data and summarizes performance using summary statistical procedures develops and analyzes business performance reports provides notations of performance deviations and anomalies implements relevant diagnostic and/or tracking data that will translate business requirements into usable decision support tools makes recommendations based on data analysis programs and writes queries and reports conducts training on the use of applications developed works with internal and external customers to solve business problems Requirements BS/BA degree in Mathematics, Statistics, or related field minimum of 5 years experience in broad-based analytical, managed care payor or provider environment considerable experience in statistical analysis and healthcare modeling experience with Medicare & Commercial Lines of Business experience with relational databases and knowledge of query tools ability to manipulate large sets of data experience in SQL, SAS, Teradata, and relational databases is highly desired MS Office Suite of tools desired advanced Excel experience preferred Tableau, Business Objects, or other reporting tools preferred good client-facing skills exposure to Python and R preferred #J-18808-Ljbffr Jobtailor