Elevance Health · 12 hours ago
Provider Contract/Cost of Care Analyst Senior
Atlanta, GA
Contract
Onsite
Mid, Senior Level
$74K/yr - $111K/yr
3+ years expElevance Health is a health company dedicated to improving lives and communities. The Provider Contract/Cost of Care Analyst Senior provides analytical support to the Cost of Care and Provider Contracting organizations, focusing on lowering claims costs and improving the quality of care through data analysis and reporting.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Creates and maintains databases to track business/program financial performance
Develops and analyzes business/program performance reports (e.g. program performance data, program financial data and provides notations of performance deviations and anomalies as it relates to the financial impact of the value-based program
Creates and publishes periodic reports, as well as any necessary ad hoc reports
Manages business issues and devises best way to develop appropriate diagnostic and/or tracking financial data that will translate business requirements into usable decision support tools
Makes recommendations based upon data analysis and financial performance
Provides analytic consultation to other business areas, leadership or external customers
Conducts financial data analysis and reporting encompasses a much higher level of complexity
Supports PIMS (payment management innovation system) maintenance/enhancements for all value based payments ensuring accurate financial reporting
Performs varied data analyses
Develops moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs
Projects cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis
Prepares pre-negotiation analyses to support development of defensible pricing strategies
Performs modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic
Measures and evaluates the cost impact of various negotiation proposals
Researches the financial profitability/stability and competitive environment of providers to determine impact of proposed rates
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
Recommends alternative contract language and may go on-site to provider premises during contract negotiations
Participates on project team involved with enterprise-wide initiatives
Qualification
Required
BS/BA degree in Mathematics, Statistics, or related field
Minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment
Experience in statistical analysis and healthcare modeling
Preferred
SQL/query skills highly preferred
Strong analysis skills highly preferred
Value based program experience highly preferred
Medicare experience preferred
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
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
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
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)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-16
2026-01-12
2026-01-11
Company data provided by crunchbase