Senior Payer Analytics Analyst

$67,950 - $85,000/Yr

SCA Health - Myrtle Point, OR

Full-time - Mid Level

Remote - Myrtle Point, OR

10,001+ employees

About the position

The Senior Payer Analytics Analyst at SCA Health plays a crucial role in analyzing complex data to support contract negotiations and business development initiatives within the healthcare sector. This position requires a detail-oriented analyst who can collaborate with various teams to enhance reimbursement processes and ensure data integrity, ultimately contributing to improved patient care and operational efficiency.

Responsibilities

• Partner with contract negotiators to identify key variables and preliminary strategies for upcoming projects, then generate accurate and instructive analytical models that reflect these inputs.
• Collaborate with regional business development leaders to evaluate potential acquisitions, using a combination of external and internal claims data.
• Support cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboards.
• Help design and implement improvements to established or proposed reimbursement processes.
• Develop effective quality control processes to ensure data integrity.
• Review claims data to ensure accurate and adequate payment.
• Ask thoughtful questions about execution and business context across different lanes.
• Present ideas and participate in meetings - Actively seek new opportunities to contribute.
• Retrieve, organize, and manipulate data from the Enterprise Data Warehouse and other databases to prepare data for reporting and analysis. Deliver actionable, supportable findings within tight deadlines and changing requirements.
• Uphold and practice the principles and policies of the SCA Compliance program.

Requirements

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics or related field.
• 3+ years analytical experience, or 3+ years of analytical experience in a Healthcare/Managed Care environment required.
• Strong command over MS SQL Server (T-SQL).
• Advanced experience in Excel.
• Experience in hospital, health plan, risk-based care delivery organizations or physician claims analytics.
• Experience working with large healthcare claims data.
• Clinical code knowledge (ICD, CPT, Rev Codes, etc.) related to medical claims/utilization data strongly preferred.
• Tableau BI tool experience preferred.
• Acute attention to detail and strong analytical and critical thinking skills.
• Experience with managed care contract terms analysis.
• Strong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholders.

Nice-to-haves

• Experience with Tableau BI tool.