Provider Contracting Analytics Specialist

CareSource; Dayton (KY); Hybrid; USD 72,200 - 115,500; Full time

Benefits offered by this job

Substantial total rewards package

Bonus tied to performance

Job summary

CareSource is seeking a Provider Contracting Analyst II to enhance provider reimbursement strategies through advanced data analysis, financial modeling, and AI analytic tools. The role requires evaluating payment methodologies and conducting contract repricing analyses.

Qualified candidates will have a Bachelor's degree in a related field and two years of experience in healthcare reimbursement or claims analysis. Proficiency in SQL and familiarity with business intelligence tools like Power BI are essential for this position.

Qualifications

• Bachelor's degree required; equivalent work experience accepted.
• Two years of relevant experience necessary.
• Experience with healthcare claims data is required.

Responsibilities

• Develop and maintain provider reimbursement models.
• Perform contract repricing analyses using claims data.
• Analyze financial metrics to identify cost drivers.

Skills

Healthcare reimbursement methodologies

SQL for data analysis

Python for automation

Data analytics tools

Business intelligence tools

Analytical and quantitative reasoning

Education

Bachelor's degree in Healthcare Administration, Data Analytics, Finance, Economics, or related field

2 years of experience in healthcare reimbursement or claims data analysis

Tools

Power BI

Tableau

Job description

CareSource is seeking a Provider Contracting Analyst II to enhance provider reimbursement strategies through advanced data analysis, financial modeling, and AI analytic tools. The role requires evaluating payment methodologies and conducting contract repricing analyses.

Qualified candidates will have a Bachelor's degree in a related field and two years of experience in healthcare reimbursement or claims analysis. Proficiency in SQL and familiarity with business intelligence tools like Power BI are essential for this position.