Job Summary
A company is looking for a Senior Network & Provider Analytics Analyst.
Key Responsibilities
- Design and generate reports and financial analytics focusing on medical costs, utilization, and trends
- Identify and present cost avoidance and recovery opportunities while performing financial and utilization analytics
- Lead the development and analysis of reimbursement strategies and maintain ongoing communication with stakeholders
Required Qualifications
- Bachelor's degree in Business Administration, Finance, or Health Services; Master's preferred
- 5-7 years of business experience, preferably in managed care or provider environments
- Advanced Excel skills and proficiency in SAS/SQL programming
- In-depth knowledge of managed care concepts, health care claims data, and reimbursement methodologies
- Strategic thinker with strong analytical skills and the ability to work collaboratively in a team environment
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