Mgr. G&IM Provider Network Analytics & Insights (Remote)

HCSC; Helena (MT); Remote; USD 112.000 - 203.000; Vollzeit

Zusammenfassung

Health Care Service Corporation is seeking a data-driven leader to manage datasets, tools, and reporting that deliver strategic provider network insights.

You will guide a team of analysts, develop quantitative capabilities, and leverage pricing models to support reimbursement negotiations and growth strategies, while building strong stakeholder relationships.

Qualifikationen

• Bachelor’s degree in Math, Actuarial Science, Business Statistics, Accounting or Finance or 4 years’ experience.
• 5 years’ experience interfacing with external clients, large employers, brokers, or consultants or 5 years’ experience in presenting analytic results to both internal and external audiences.
• 5 years’ experience in requiring data analysis and information reporting related to healthcare data.
• 2 years leadership experience.

Aufgaben

• Manage the data sets, analytical tools, and reporting functions to deliver provider network insights.
• Lead a team of analysts, developing quantitative capabilities and leveraging pricing models to drive reimbursement negotiations and growth.
• Foster key internal and external stakeholder relationships and implement innovative data methodologies.

Kenntnisse

Leadership

Negotiation

Presentation

Communication

Healthcare analytics

Stakeholder management

Data interpretation

Ausbildung

Bachelor’s degree or 4 years experience

Tools

SQL

Python

Dataiku

Jobbeschreibung

Remote

National Remote

MT - Helena

NM - Albuquerque

TX - Richardson

Full time

R0055855

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position manages the data sets, analytical tools, and reporting functions required to deliver strategic provider network insights. This role leads a team of analysts, developing their quantitative capabilities while leveraging professional pricing models to drive reimbursement negotiations and business growth strategies. Additionally, the position fosters key internal and external stakeholder relationships and actively implements innovative data methodologies.

Job Requirements:

• Bachelor’s degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years’ experience.
• 5 years’ experience interfacing with external clients, large employers, brokers, or consultants OR 5 years’ experience in presenting analytic results to both internal and external audiences.
• 5 years’ experience in requiring data analysis and information reporting related to healthcare data.
• 2 years leadership experience.
• Negotiation, decision-making, organizational, and analytical skills.
• Verbal and written communication skills, including presentation skills.
• PC proficiency to include Access, Excel, Word, and PowerPoint.

Preferred Requirements:

• Experience in a supervisory/management position.
• Experience with the development and delivery of business intelligence related to provider reimbursement calculations.
• Experience generating prospective financial modeling of provider reimbursement scenarios
• Experience in Project Management
• Working knowledge of SQL, Python and/or Dataiku (Data Science Studio)

Sponsorship is not available.

#LI-Remote

#LI-AS1

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$112,200.00 - $202,600.00

Exact compensation may vary based on skills, experience, and location.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

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