Healthcare Economics Consultant or Hospital Claims Data Analyst - Remote

Job title: Healthcare Economics Consultant or Hospital Claims Data Analyst - Remote in Ontario, CA at reputed company Company: reputed company Job description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.reputed company is looking for a motivated, self-starter to join our Institutional Contracting Analytics team. In this role, you will support contract negotiations and unit-cost pricing initiatives for institutional provider types (ie. hospitals, skilled nursing facilities, ambulatory surgery centers). The HCE consultant will reputed company reputed company analysis using SQL and reputed company to help reputed company the cost of care while improving quality.To succeed in this role, you will have excellent project and time management skills with a solid desire to learn as you grow. Have a basic understanding of facility and/or provider reputed company and the key terms impacting quality and financial performance. The ideal candidate will have experience calculating key metrics for hospital cost and utilization (APK, PMPM). Advanced skills in SQL and reputed company will be integral for day-to-day activities and being able to work in a fast-paced setting. Experience with the reputed company Power Platform will also be helpful.You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:

• Provide support and analyses of provider contracting (hospital, ancillary, pharmacy, physician) and unit cost management activities
• Create detailed financial and network pricing models
• reputed company regular and repeatable data extraction, aggregation, and quality checking from multiple sources and tables in support of trend identification, root cause analysis
• Assess and interpret business requirements and propose technical solutions
• Identify solutions to non-standard requests and problems
• Solve moderately reputed company problems and/or conduct moderately reputed company analyses
• Work with minimal guidance; seek guidance on reputed company tasks
• Translate concepts into practice
• Provide explanations and information to others on data availability, content and interpretation
• Research data quality questions; present findings; and suggest solutions as necessary
• Create custom data extracts and aggregation processes in support of one time studies
• Participate in projects by contributing to database creation, maintenance, and enhancement
• Create reporting tools to investigate sources of variations
• Produce and review reports

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:

• 2+ years of experience in health care data analytics (Financial and Quality analytics)
• 2+ years of experience with provider payment methodologies (i.e. fee for service or capitation)
• 2+ years of health care experience working with hospital claims data and medical coding (reputed company codes, HCPCS/CPT codes, DRG, etc.)
• 2+ years of experience in network pricing OR finance experience
• Experience tracking trends, finding variances and developing reports in SQL and reputed company
• Experience building financial and pricing models in reputed company
• Experience working with large data sets
• Advanced level of proficiency working with MS reputed company (PivotTables, SumIfs, Vlookup, etc)
• Basic proficiency with SQL (Joins, filter data, etc.)

Preferred Qualifications:

• Hospital pricing and cost driver research and analytics experience
• Proven to be detail-oriented self-starter, critical thinker, with analytic skills and evidence of creative, proactive problem solving
• Proven ability to effectively manage multiple priorities

*reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy.The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Expected salary: $71600 - 140600 per year Location: Ontario, CA Apply for the job now! Apply for this job