Provider Contract/Cost of Care Consultant
Core
Analytical support to Cost of Care and Provider Contracting organizations, focusing on lowering claims costs, improving care quality, and increasing member/provider satisfaction.
Role type
Senior IC Cost of Care and Provider Contracting Consultant
Builds
Contracting strategies and pricing mechanisms for physicians, ancillary services, medical groups, and hospitals
Domain
Health insurance / Managed care payor
Deliverable
dashboards & analysis
Required skills
Statistical analysis, Healthcare modeling, Relational databases, SQL, Data manipulation, Business reporting
Preferred skills
Medicare & Commercial Lines experience, SAS, Teradata, Tableau, Python, R, Advanced Excel
Technologies
SQL, SAS, Teradata, Tableau, Business Objects, Excel, Python, R
Responsibilities
Create and maintain databases to track business performance; Analyze data and summarize performance using statistical procedures; Develop and analyze business performance reports; Program queries and reports; Conduct training on applications; Work with internal/external customers to solve business problems
Seniority
Mid-Senior level, Non-Management Exempt