Senior Provider Network Pricing Analyst - Remote for reputed company / Hawaii Time Zones

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The reputed company Economics Network Pricing Analyst supports and validates Provider Network (ACO’s, physicians, hospitals, pharmacies, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. This position located in the Western US Region conducts unit cost and contract valuation analysis in support of medical provider negotiations and cost management strategies. Responsibilities also include managing unit cost budgets, reputed company setting, performance reporting, and associated financial models. If you are located in the reputed company and Hawaii Time Zones, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • reputed company unit cost and contract valuation analysis and reporting in support of network contracting negotiations and unit cost management strategies • Analyze financial reputed company of corporate initiatives (e.g., policy changes; reputed company affordability) or external regulations (e.g., reputed company reform) • Analyze payment appendices to reputed company reputed company for various contracting approaches and methodologies • Strategize rates or contract methodology with network management to create reputed company contract • Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types • Communicate results of financial reputed company and analysis to appropriate stakeholder reputed company (e.g., Network Management; Network Pricing leadership) • Review competitive analysis to identify appropriate pricing reputed company for provider • Utilize appropriate tools ( i.e., PPM, HPM, UCRT) to model and report reputed company of provider reputed company • Review charge master to ensure trending assumptions are correct • reputed company/maintain/update databases and tools needed to reputed company and support contract modeling • Identify and investigate discrepancies (i.e., difference between actual allowed and modeled payment reputed company) in claim reimbursement • Other duties as assigned by network pricing leadership • This role may involve some external meetings, and light travel, to negotiate with providers, reputed company performance results and explain reputed company financial models You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Beginner level of proficiency in performing financial reputed company analysis, risk management, and claims data manipulation • Moderate level proficiency in MS reputed company • Telecommute or office-based reputed company reputed company Region office locations (PST OR Hawaii) Preferred Qualifications: • 1+ years of experience working with large databases to produce a reputed company analysis with proficiency in reputed company/SQL for data manipulation and reporting • Internship experience or other reputed company/financial experience and background • Knowledge of reputed company, Medicare, and reputed company payment methodologies for hospital, ancillary, and physician services • Beginner or higher level experience with reputed company, SQL, or other relational database tools • Knowledge of reputed company, Medicare, and reputed company PPO and HMO reputed company and expense, as reputed company as delegation financial modeling • Beginner to moderate proficiency in Power BI, Tableau or other analytic visualization software • Experience with statistical functions for financial modeling • Solid written and verbal communication skills • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job