This role is eligible for a $5,000 sign-on bonus for external candidates
Develop health care cost trend analytics as part of a dynamic team. Build, deploy and maintain dashboards and analyses that support identification of meaningful medical and pharmacy cost trends. Collaborate with subject matter experts to identify root causes of trends. Work with markets and corporate functions to identify potential medical cost containment initiatives to manage MLR and develop tracking tools to identify realized vs expected savings targets. Develop provider contracting tools and methodologies to support network teams – familiarity with value based contracts, risk sharing arrangements, traditional per case and per diem contract development preferred. Provides support to negotiations on reimbursement rates and provides data to support rate changes/adjustments in various markets. May work with multiple business segments and departments. The ideal candidate will have a thirst for continuous learning, investigative analytics, reporting, analysis and creative problem solving. He/she will be sought out as an expert on the projects they support, sharing work with a wide array of audiences. This is a great opportunity to utilize strong skills in programming, analytics and reporting.