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Sr. Consultant, Cost & Performance Analytics – Atlanta REMOTE – SIGN ON BONUS!
 
NEW POSITION – excellent technology – strong career growth!  This is a great role for someone who enjoys partnering and collaborating with senior leadership.
 
Responsible for strategic analytical and reporting support to the Provider Contracting Department and other business owners including but not limited to Associate Medical Directors, Senior Leaders, Quality Resource Management, and the  Senior Accountant. Areas for analysis and reporting may include any aspect of the company’s medical delivery system but primarily will be related to: provider compensation, performance (financial and clinical), provider payment and contracting, utilization management and coding. In addition, ad hoc financial and analytical requests will be common. The ideal candidate will be a subject matter expert with the contract management system that is used regionally and nationally.
 
 
Essential Functions:
• Responsible for all aspects of financial modeling in order to provide regional leaders information and analysis to address areas of medical cost savings, service access, and increases in profitability for the organization. The ability to extract meaningful and accurate information as well as the ability to apply critical decision making logic will be vital for success in this highly visible role. The data extraction processes for this position shall routinely come from both internal and external sources. The use of advanced Microsoft Access, SQL queries and other database and report writing tools will be required. This individual will also organize results, conclusions and recommendations for presentation to business owners and/ or senior management in a manner that is clear, concise and easily understandable.

• Conduct extremely complex and diverse analytical financial, utilization-focused, statistical, operational and cost/benefit projects in order to assist leadership with budget projections, provider contract performance determinations, internalization analytics and to develop a regional contracting strategy.

• Design and develop data analyses and reports that will track contract performance and forecast the impact of rate modifications and medical cost performance. These results will improve contract compliance, prospective contract terms and rates; and help to identify clinical practice patterns that positively or negatively affect costs.

• Work with the national program office  to develop national reporting and benchmarking initiatives; and other strategic work related to hospital network development. Analytical, contract modeling and financial reporting support for other regions will also be required.

• Interfaces with Medical Directors and other regional executives to devise medical cost initiatives, drive cost improvement, and assist in developing the organization’s annual medical expense budget.

• Train other employees in modeling techniques and contract modeling system functions.

Qualifications:

Minimum five (5) years experience in a managed care/healthcare organization required.
• Minimum five (5) years academic or relevant work experience to strongly demonstrate the following skills and knowledge: Data  analysis, statistical analysis, communication skills, analytical skills, interpersonal skills and group facilitation skills.
• Minimum five (5) years experience in financial, resource management or executive level reporting.

Education

• Bachelors degree from an accredited university/college in the fields of economics, math, finance, health care management or four (4) years directly related experience.

• High School Diploma OR General Education Development (GED) required.

 

Additional Requirements:

• Must have in-depth familiarity with corporate data environment/data warehouse structure. Use of relational databases and end-user tools (e.g. SQL) to develop interfaces that support senior leadership information requirements.
• Proficient in Microsoft Office Products, Access, Cognos, Paradox or similar database, and query writing.
• Experience in managing multiple requests. 

 

Preferred Qualifications:

• Demonstrated leadership ability, particularly as a collaborator and strong partner in shared leadership roles preferred.
• Strong background and familiarity with the use and interpretation of quantitative reports and analysis; strong evidence of sound analytical skills preferred. 
• Demonstrated ability to determine the key business issues and to develop appropriate action plans from multi-disciplinary perspectives preferred.
• Understanding of the fundamentals and dynamics of a group-practice and a health maintenance organization preferred.  
• Knowledge of health care operations including primary care, specialty and ancillary services preferred.
Knowledge and functional experience with contract management/modeling systems preferred.

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