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Provider Contract/Cost of Care Analyst PS27593 (Virginia Bea

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Job Details
Job Order Number
JC147920694
Company Name
Anthem
Physical Address

Wilmington, DE 19806
Job Description

Provider Contract/Cost of Care Analyst PS27593 (Virginia Beach, VA)

Location: United States

Requisition #: PS27593

Post Date: 4 days ago

Your Talent. Our Vision. At Anthem , Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company.

Preferred Location: Virginia Beach

Provider Contract/Cost of Care Analyst (MedicaidHealthcare Analytics) PS27593

Provides analytic support to higher level Analysts and Consultants in helping them run their programs and/or to support the contracting process.

Primary duties may include, but are not limited to:

+ Modifies existing analytical models to create predictive impact decision making tools and may build new models with assistance from higher level Analysts and Consultants as needed.

+ Performs varied data analyses which may include: post implementation analyses; retrospective data analyses; analyses to track both health risks and compliance which are critical means of managing long-term health costs; analyses to identify cost increases in medical services; analyses of practice patterns in relation to office visits, referral practices, and specialty care procedures to help identify strategies to control costs; pre-negotiation analysis to support development of defensible pricing strategies; and the measurement of the cost impact of various negotiation proposals to better forecast how pricing changes could affect the company’s bottom line.

+ May map disparate sources of data to a common language for analysis.

+ May work on projects as assigned.

Qualifications:

+ Requires BS/BA degree in Mathematics, Statistics, or related field; 2-4 years’ experience in broad-based analytical, managed care payor or provider environment; experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would provide an equivalent background.

+ Master’s degree preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at Careers.antheminc.com

An Equal Opportunity Employer/Disability/Veteran


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