Field-Based Provider Network Analytics & Contracting Lead (GA)

Remote Source, Inc.; United States; À distance; USD 88 000 - 158 000; Plein temps

Résumé du poste

Centene is seeking a professional to manage and support the development of network performance analytics and to design data solutions for contracting analytics and modeling applications. The role involves working with providers and communities across Georgia and requires residence within the state due to travel requirements.

You will oversee analytic reporting, provider profiling, and cost trend analyses while guiding health-plan stakeholders. A senior background in contracting is essential.

Qualifications

• Bachelor's degree in Business, Economics, Finance, Healthcare or related field or equivalent experience.
• 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
• Lead in a functional area, managing cross-functional teams on large-scale projects or supervisory experience.

Responsabilités

• Oversee development of project applications and determine financial impact of contract negotiations and statewide rate changes.
• Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools.
• Lead provider profiling and network performance analytic support functions and support health plans and stakeholders.
• Oversee, monitor and measure unit cost trends and network improvement opportunities.
• Support existing application solutions, identify and develop enhancements to improve outcomes.
• Plan, manage, analyze, design and implement projects with deliverables, goals and milestones.

Connaissances

Contracting experience

Leadership experience

Healthcare analytics

Formation

Bachelor's degree

Outils

SQL

SAS/SPSS

Visio

Office Suite

Description du poste

Centene is seeking a professional to manage and support the development of network performance analytics and to design data solutions for contracting analytics and modeling applications. The role involves working with providers and communities across Georgia and requires residence within the state due to travel requirements.

You will oversee analytic reporting, provider profiling, and cost trend analyses while guiding health-plan stakeholders. A senior background in contracting is essential.