Job Description
Job Title Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends. Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace. Essential Functions Provide analytical and strategic support of health care provider rate negotiations. Identify opportunities for medical cost reduction, develop action plans, and drive execution. Assess the cost and quality efficiency of health care providers. Collaborate with local network team to develop and maintain high performing network solutions. Assess competitiveness of standard and high performing network products. Analyze reports and present findings to business partners at various levels of the organization. Support business partners and team members on an ad hoc basis as needed to support various integral business needs. Maintain strong communication with other analysts to identify new opportunities and share best practices. Mentor/train business partners and other analysts. Qualifications Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or other related field of study. Master's degree preferred. 5+ years of experience with health care data analysis required. Experience with medical cost trend analysis and health care provider contract analysis preferred. Strong analytical and problem solving skills with a proven track record of success. Ability to independently perform data analysis while managing multiple projects and meeting stric