Sr. Analyst, Network Strategy, Pricing & Analytics

• Conduct analysis of provider performance, utilization trends, and geographic coverage to identify network gaps, inefficiencies, and opportunities for optimization.  
• Develop and apply predictive models to assess contract risk, forecast financial impact, and evaluate provider behavior under varying reimbursement methodologies.  
• Interpret contract rates, terms, and coding structures to assess financial implications and support contract negotiation strategies, including chargemaster considerations.  
• Ensure the integrity and accuracy of integrated claims, provider, and contract data; identify and resolve data quality issues impacting reporting and analysis.  
• Support compliance with applicable regulatory requirements through data monitoring, audit support, and required reporting.  
• Design, develop, and maintain dashboards, reports, and data visualizations to effectively communicate insights to internal stakeholders.  
• Prepare and deliver recurring provider and hospital performance reports utilizing SQL, Excel, and other reporting tools.  
• Present analytical findings and strategic recommendations to leadership in a clear, concise, and professional manner.  
• Apply statistical and machine learning methodologies to address complex business challenges, including fraud detection and provider performance trends.  
• Collaborate with cross-functional teams to align data initiatives with organizational priorities and strategic objectives.  
• Identify and support process improvements related to data collection, reporting, and analytics functions. 

CHALLENGES

• Working with a variety of personalities, maintaining a consistent and fair communication style.
• Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS

• Bachelor’s degree in business, Finance, Mathematics, Economics, Data Science, Actuarial Science, or a related field.  
• Minimum of five (5) years of experience in analytics, including financial analysis, healthcare pricing, network management, or healthcare economics.  
• Advanced proficiency in Microsoft Excel and strong working knowledge of SQL.  
• Experience working with complex data environments, including database management and performance analytics.  
• Proficiency in at least one programming or analytics language (e.g., Python or R) and experience with data visualization tools (e.g., Tableau or Power BI).  
• Working knowledge of statistical modeling and analytical methodologies.  
• Strong written and verbal communication skills, including the ability to present technical information to non-technical audiences.  
• Demonstrated ability to work independently and collaboratively in a cross-functional environment. 

PREFERRED QUALIFICATIONS

• Master’s degree in data science, Statistics, Computer Science, Health Informatics, or a related field.  
• Experience in healthcare, insurance, or network management analytics.  
• Advanced expertise in statistical modeling, machine learning, and experimental design.  
• Extensive familiarity with healthcare data sources, including claims, provider data, and contract information. 

• Salary is dependent on skills, experience, and education
• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
• Medical, dental, and vision insurance
• 401(k) with company match (fully vested immediately)
• Company-sponsored life insurance and additional benefits
• Fitness reimbursement program
• Tuition reimbursement and more

Powered by JazzHR