More jobs:
Provider Contract, Cost of Care Consultant
Job in
Covington, Kenton County, Kentucky, 41011, USA
Listed on 2026-07-20
Listing for:
Jobtailor
Contract
position Listed on 2026-07-20
Job specializations:
-
Healthcare
-
Business
Data Analyst
Job Description & How to Apply Below
- provides analytical support to the Cost of Care and/or Provider Contracting organizations
- focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction
- provides expert advice and analytic support to Medical Directors and management on cost-of-care issues
- works on large-scale initiatives with high dollar cost savings opportunities
- partners with provider contractors to develop a contracting strategy and support all aspects of the contract negotiation process
- creates and maintains databases to track business performance
- analyzes data and summarizes performance using summary statistical procedures
- develops and analyzes business performance reports
- provides notations of performance deviations and anomalies
- implements relevant diagnostic and/or tracking data that will translate business requirements into usable decision support tools
- makes recommendations based on data analysis
- programs and writes queries and reports
- conducts training on the use of applications developed
- works with internal and external customers to solve business problems
- BS/BA degree in Mathematics, Statistics, or related field
- minimum of 5 years experience in broad-based analytical, managed care payor or provider environment
- considerable experience in statistical analysis and healthcare modeling
- experience with Medicare & Commercial Lines of Business
- experience with relational databases and knowledge of query tools
- ability to manipulate large sets of data
- experience in SQL, SAS, Teradata, and relational databases is highly desired
- MS Office Suite of tools desired
- advanced Excel experience preferred
- Tableau, Business Objects, or other reporting tools preferred
- good client-facing skills
- exposure to Python and R preferred
Position Requirements
5+ Years
work experience
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