National Competitive Business Analytics (Senior Advisor)

WORK LOCATION: REMOTE

As a National Competitive Business Analytics Senior Advisor, this highly technical and analytical resource's main focus is to deliver robust competitive unit cost data solutions & insights to be leveraged in negotiations, with the main focus on Transparency data.

This individual, with strong analytics and coding skills, will manage and triage the technical aspects of data, perform analytics and clearly communicate with the team and matrix partners relevant issues, findings, and insights.

This position supports reporting to support Local Market Affordability initiatives, national competitive initiatives as well as Contracting strategies, and ensuring competitive information is accurately portrayed and can be leveraged along with other competitive data points in the competitive unit cost triangulation process.

This position is responsible for working in a highly matrixed organization in a collaborative manner and exhibiting behaviors, attitudes and actions that demonstrate a high level of teamwork.

MAIN DUTIES AND RESPONSIBILITIES :


* Work within department and with matrix partners to determine & define opportunities to create, lead, build out & deliver solutions on actionable competitive unit cost insights.

Heavily focus on transparency data analytics to enable decision making in support of Alternative Network mobilization


* Use appropriate tools to transform, clean up, and review data.

Analyze data to clearly outline findings, derive accurate results and meaningful insights.

Take logical steps/initiatives to make any improvement on assigned tasks.


* Maintain a close, productive and collaborative relationship with matrix partners.


* Support management in the long-term strategy and defining of priorities


* Special projects & other initiatives as required.

POSITION REQUIREMENTS :


* 3+ years of Healthcare experience, required.


* Strong understanding of Provider Contracting & contract negotiations.

In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management highly preferred.


* Deep familiarity with health insurance data, including contract structure and methodologies, claims, eligibility, provider and benefit data, required.


* Self-starter with excellent analytical, technical, project management, interpersonal, communication & customer service skills in a matrix organization.

Ability to analyze and interpret both qualitative and quantitative provider data.

Ability to clearly and effectively convey findings, results and insights in emails and meetings to both technical and non-technical stakeholders.


* 5+ years of experience in the use of relational database concepts and applications, specifically use of MS Access, SAS, SQL, Excel and other relevant software applications, required.


* Strong SQL coding in data extraction, cleaning, trans...