Senior Provider Contract Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Senior Provider Contract Analyst at The Cigna Group, focusing on healthcare provider contract analysis and medical expense trends. Collaborating with teams to deliver strategic insights and support cost reduction efforts.
Responsibilities:
- Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends.
- Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace.
- Provide analytical and strategic support of health care provider rate negotiations.
- Identify opportunities for medical cost reduction, develop action plans, and drive execution.
- Assess the cost and quality efficiency of health care providers.
- Collaborate with local network team to develop and maintain high performing network solutions.
- Assess competitiveness of standard and high performing network products.
- Analyze reports and present findings to business partners at various levels of the organization.
- Support business partners and team members on an ad hoc basis as needed to support various integral business needs.
- Maintain strong communication with other analysts to identify new opportunities and share best practices.
- Mentor/train business partners and other analysts.
Requirements:
- Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or other related field of study
- Master's degree preferred
- 5+ years of experience with health care data analysis required
- Experience with medical cost trend analysis and health care provider contract analysis preferred
- Strong analytical and problem solving skills with a proven track record of success
- Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
- Strong ability to validate and interpret results
- Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics
- Strong communication skills to include written, oral, and group presentation
- Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management
- Technical sophistication with various data mining and business intelligence tools such as SAS, SQL, Microsoft Access, or similar products, advanced Microsoft Excel skills
- Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS
Benefits:
- Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
Similar Jobs
Reimbursement Analyst
Reimbursement Analyst at Gifthealth helping patients access therapy through insurance processes. Managing billing, coding and assisting with complex reimbursement inquiries in a remote capacity.
RFP Analyst
RFP Analyst responsible for end-to-end request for proposal processes at Fulton Bank. Utilizing project management skills to create compelling proposals for Treasury's services and products.
Revenue Cycle Analyst
Analyst, Revenue Cycle I helping redefine healthcare through customer obsession and innovation. Working with leadership on Revenue Cycle operations, reporting, and continuous improvement initiatives.
Senior Analyst, Analytics
Senior Analyst, Analytics role at Synchrony analyzing data for financial services. Collaborating with global teams to improve business performance through advanced analytics.
Data Services Analyst
Analyst focusing on data services, ensuring operational data integrity for AES's renewable energy assets. Collaborating with teams for data reporting and compliance across various energy projects.
Senior Analyst
Senior Analyst developing advanced solutions for fundraising strategies through data-driven insights at The Nature Conservancy. Collaborates with teams to enhance organizational effectiveness and conservation impact.
Analista de Salvaguardas y Participación Social
Analista de Salvaguardas y Participación Social en TNC, trabajando en el desarrollo comunitario y la conservación de ecosistemas en Guatemala. Coordinando procesos participativos con comunidades indígenas y locales.
PMO Analyst – Strategy
PMO Analyst responsible for governance and execution of SPM's strategy and transformation at Ciena. Focused on objectives, KPIs, scorecards, strategic initiatives, and structured communication.
Junior Credit Analyst – Loan Review
Junior Credit Analyst reviewing loans for accuracy and policy adherence at OptimaFI. Analyzing financial data and collaborating with teams in a remote environment.
Senior Revenue Cycle Analyst
Senior Revenue Cycle Analyst overseeing claims and payment processing for a healthcare organization. Ensuring regulatory compliance and optimizing billing through collaboration with stakeholders and analytics.
Patient Access Analyst – Cadence, Eligibility, Prelude, Grand Central
Epic Patient Access Analyst responsible for design, analysis and support for Epic information system solutions in healthcare. Completing certifications and collaborating with project teams for effective implementations.
Aquaculture Policy Analyst
Aquaculture Policy Analyst supporting NOAA's National Marine Fisheries Service with policy analysis and coordination. Focusing on advancing sustainable domestic aquaculture initiatives.
Staff Analyst, Product
Staff Analyst focusing on product analytics at Hims & Hers, leveraging data for customer experience. Collaborating across teams to implement best-in-class analytics and experimentation approach.
Payment Integrity Claims Editing Analyst
Analyst providing analytical, technical, and problem resolution support to Payment Integrity Claims Editing System. Working with internal partners to ensure adherence to standards and regulations.
Digital Analytics Analyst
Data Analyst responsible for implementing data systems and analyzing e-commerce operations at WEBJUMP. Collaborating with global teams and ensuring data integrity while providing strategic insights.
Environmental Health/Inspections Analyst
Solutions Analyst enhancing public health practices by translating needs into technology solutions. Collaborating with health departments to improve environmental health program efficiencies.
Analista de Serviços de TI
IT Services Analyst responsible for implementing engineering and supply modules and supporting client needs at Sienge. Focus on SaaS solutions in construction, legal intelligence, operational efficiency, and governance.
HEOR Analyst – Contract
HEOR Analyst conducting real world data analyses to support Vertex Pharmaceuticals' product portfolio. Collaborating on statistical programming and observational research in healthcare settings.
Senior Workday HRIS Analyst
Senior HRIS Analyst overseeing Workday Compensation and Payroll modules for Accendra Health. Ensuring accurate, compliant, and scalable solutions in compensation and payroll processes.
Integration Analyst
Integration Analyst at TCP gathering requirements for data integrations and support on implementation projects. Collaborating with clients and contributing to product discussions based on market trends.