What are the responsibilities and job description for the Senior Analyst - Medical Economics position at Astrana Health?
Description
What You'll Do
Qualifications
Job Benefits
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
We are currently seeking a highly motivated Senior Analyst – Medical Economics. This role will report to the Senior Manager – Decision Support Services and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.
Our Values:
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
• Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan, institutional, and provider contracts
• Build deal models for health plan, institutional, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service
• Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings
• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals’ financial impact
• Identify, develop, and document audit findings to present to key stakeholders
• Help develop proprietary analytics infrastructure, including various reports and dashboards, supporting our institutional and payor financial performance
• Complete a variety of strategic adhoc projects as assigned
• Build deal models for health plan, institutional, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service
• Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings
• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals’ financial impact
• Identify, develop, and document audit findings to present to key stakeholders
• Help develop proprietary analytics infrastructure, including various reports and dashboards, supporting our institutional and payor financial performance
• Complete a variety of strategic adhoc projects as assigned
Qualifications
• Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Master’s degree (MBA, MHA, MPH) is preferred
• Minimum of 2 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred
• Prior experience in an analytical/reporting role developing financial and operational models
• Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.)
• Basic understanding of healthcare policy trends (e.g. value based care)
• Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required
• Proficiency with SQL or similar relational databases is required
• Minimum of 2 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred
• Prior experience in an analytical/reporting role developing financial and operational models
• Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.)
• Basic understanding of healthcare policy trends (e.g. value based care)
• Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required
• Proficiency with SQL or similar relational databases is required
Job Benefits
- This position is remote.
- The total compensation target pay range for this role is: $100,000 - $115,000. This salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Salary : $100,000 - $115,000
