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Provider Contract/Cost of Care Analyst Sr

Location: NJ
JobFamily: Reporting & Data Analysis
Req #: PS64612
Date Posted: Jan 4, 2022

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SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Duties & Responsibilities

Provider Contract/Cost of Care Analyst Sr

Primary duties may include, but are not limited to:
•    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 advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care. 
•    Performs varied data analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation proposals; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projecting different cost of savings targets based upon various analytics.
•    Extract data from multiple data warehouses using SQL/SAS for analytics and reporting.
•    Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings. 
•    Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. 
•    Recommends standardized practices to optimize cost of care. 
•    Educates provider contractors on contracting analytics from a financial impact perspective. 
•    May recommend alternative contract language and may go on-site to provider premises during contract negotiations.
•    Participates on project team involved with enterprise wide initiatives. 
•    Supports the development of innovative payment design and proposed enterprise and market-level enhancements to payment terms to encourage value-based arrangements.


Minimum Requirements 

•    Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years’ experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background. 

Preferred Requirements 
•    Strong analytical, organizational, presentation, and problem solving skills. 
•    Medicaid and/or Medicare experience is strongly preferred.
•    3+ years of SQL and/or SAS experience required, SAS experience strongly preferred.
•    Intermediate Excel skills required - Ability to create pivot tables, complex graphs, use VLOOKUP and HLOOKUP, as well as nested IF statements and mathematical equations.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.