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Analyst, Network & Provider Analytics

Company

Point32Health
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-10-16
Posted at 9 months ago
Job Description
Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click
here
.
Job Summary
Working under the direct supervision of the Senior Manager, Network & Provider Analytics, the Analyst, Network & Provider Analytics will be part of a team responsible for the development, monitoring and reporting of the contractual agreements with health care providers and institutions. Responsibilities include supporting provider negotiations, Provider Performance Management analytics, and ad hoc requests. The Analyst, Network & Provider Analytics may also serve as a project manager and/or lead cross functional teams for certain related projects.
Key Responsibilities/Duties – what you will be doing
  • Under direct supervision, conduct detailed analyses that offer the Provider Performance Management team insights into cost drivers and best practices
  • Under direct supervision, perform provider conversions to new fee schedules or reimbursement methodologies
  • Perform ad hoc analytics that can include provider cost trends
  • Support provider negotiations with more senior analyst to update financial models and run ad hoc analytics
  • Other duties and projects as assigned.
  • Work under direct supervision to generate and enhance standard cost and utilization reports
Qualifications – what you need to perform the job
  • 1-3 years of business experience, preferably in managed care or provider environment. New England health care market experience. Excel skills required. SAS/SQL programming preferred
  • Knowledge and understanding of managed care concepts and the financial relationship between payers and providers; solid knowledge of health care claims data
  • Works well with team members both on the team and in other areas of the organization.
  • Strong oral, written and presentation skills
  • Ability to function effectively in a fast-paced environment.
  • Bachelors in Business Administration, Finance, Health Services required; Masters preferred
Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.