employs advanced analytics to gain critical insights into member and/or provider behavior drivers and preferences
consults business leaders and internal partners to apply the insights to test and drive provider innovation and enhancement
targets the right provider partners to ensure the members receive the right high quality service
measures program outcomes and demonstrates value
helps win and retain clients and supports information-based strategic decision-making
provides analytical insights to support business solution development based on quality, use, cost, and other key drivers
develops and refines analysis templates for problem diagnosis and opportunities assessment
contributes to the design of new programs/initiatives based on test/pilot outcomes
proactively collaborates with business partners to determine identified population segments
trend analytics to identify patterns and predict future trends related to value based payment data, and healthcare costs
provides analytical support for network strategies
conducts in-depth research to address challenging issues in measuring outcomes

MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research
minimum of 5 years experience in related health care analytics
substantial analytical experience in the healthcare industry preferred
in-depth understanding of healthcare dynamics, including value based payment arrangements and network analytics
experience with Snowflake data platform
additional skills for success are Python, Informatica, Tableau, and/or Power BI
ability to present meaningful results to a business audience
ability to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule
strong written and verbal communication skills

Network Cost of Care Analyst, Consultant

Key skills