Anthem Provider Contract/Cost of Care Analyst - PS24372 in Fond du Lac, Wisconsin
Provider Contract/Cost of Care Analyst - PS24372
Location: United States
Requisition #: PS24372
Post Date: 1 day ago
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future ofhealth care .
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
ProviderContract/Cost of Care Analyst
Thisposition may be located in any Anthem office
The Provider Contract/Cost of Care Analyst provides analytic support to higher level Analysts and Consultants in helping them run their programs and/or to support the contracting process. Primary duties may include, but are not limited to:
Modifiesexisting analytical models to create predictive impact decision making toolsand may build new models with assistance from higher level Analysts andConsultants as needed.
Performsvaried data analyses which may include: post implementation analyses;retrospective data analyses; analyses to track both health risks and compliancewhich are critical means of managing long-term health costs.
Analysesto identify cost increases in medical services.
Analysesof practice patterns in relation to office visits, referral practices, andspecialty care procedures to help identify strategies to control costs.
Pre-negotiationanalysis to support development of defensible pricing strategies; and themeasurement of the cost impact of various negotiation proposals to betterforecast how pricing changes could affect the company's bottom line.
Maymap disparate sources of data to a common language for analysis.
Maywork on projects as assigned.
Departmentspecific job duties may include the following:
Process, Policy and Job Aid documentation creation
Creation of Executive Dashboards and Presentations
Governance Process Leader
2-4years’ experience in broad-based analytical, managed care payor or providerenvironment
Experiencein statistical analysis and healthcare modeling; or any combination ofeducation and experience, which would provide an equivalent background.Master's degree preferred.
Priorexperience with provider network contracting, provider networks, claims,finance, and operations preferred.
MBA,MHA, MA preferred.
PMPor Six Sigma Green Belt preferred.
Anthem, Inc. is ranked as one of America’s MostAdmired Companies among health insurers by Fortune magazine and is a 2018DiversityInc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com An EqualOpportunity Employer/Disability/Veteran