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Elevance Health · 1 day ago

Cost of Care/Provider Contracting Data Analyst

Miami, FL

Contract

Hybrid

Senior Level

5+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Cost of Care/Provider Contracting Data Analyst is responsible for providing analytical support to the Cost of Care and Provider Contracting organizations, focusing on lowering claims costs, improving the quality of care, and increasing satisfaction among members and providers.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues

Works on large scale initiatives with high dollar cost savings opportunities

Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process

Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals

Supports a full range of contract arrangements and pricing mechanisms

Works on complex enterprise-wide initiatives and acts as project lead

Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process

Types of analyses include performing sophisticated retrospective data analytics; building new and modifying existing complex models to create predictive impact decision making tools

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

Acts as a source of direction, training and guidance for less experienced staff

Qualification

Statistical analysisHealthcare modelingData analyticsContract negotiationProficiency with SQLProficiency with SASProficiency with ExcelTableauHealth EconomicsValue-based programsAnalytical thinkingCommunication skillsTeam collaboration

Required

Requires BS/BA degree in Mathematics, Statistics, or related field

Minimum of 5 years experience in broad-based analytical, managed care payor or provider environment

Considerable experience in statistical analysis and healthcare modeling

Any combination of education and experience, which would provide an equivalent background

Preferred

Master's degree preferred

Proficiency with Snowflake, SAS, SQL and Excel is strongly preferred

Experience with Tableau is preferred

Experience with Value-based programs preferred

Health Economics background strongly preferred

Healthcare background strongly preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)