Senior Network

Job Summary

Working under the direction of the Director or Senior Manager, the Senior Analyst will be part of a team responsible for the development, negotiation, monitoring and reporting of contractual agreements with healthcare providers and institutions.

Key Responsibilities/Duties – what you will be doing

• Responsible for designing and generating various Point32Health reports and financial analytics that focus on medical cost, utilization, membership, trends, and ad hoc requirements.
• Work independently to identify and present cost avoidance and cost recovery opportunities.
• Perform financial & utilization analytics required by other departments within Point32Health including Medical Management, Contracting, Payment & Policy, etc.
• Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new reimbursement strategies and financial analytics supporting provider contracting in the Point32Health network.
• Responsible for ongoing communication with customers, providing project status, resolving issues, coordinating continued involvement to meet original expectations, or jointly agreed upon adjusted expectations.
• Other duties and projects as assigned.

Qualifications – what you need to perform the job

• Bachelor's in Business Administration, Finance, Health Services required; Master's preferred.
• 5-7 years of business experience, preferably in managed care or provider environment.
• Advanced Excel skills; proficiency with SAS/SQL programming required.
• In-depth knowledge and understanding of managed care concepts and the financial relationship between payers and providers; solid knowledge of healthcare claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment.
• Strategic thinker, with strong analytic and problem-solving skills. Strong interpersonal and collaboration skills, and the ability to work in a team environment required.

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay.

Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

• Medical, dental and vision coverage.
• Retirement plans.
• Paid time off.
• Employer-paid life and disability insurance with additional buy-up coverage options.
• Tuition program.
• Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health.

Commitment to Diversity, Equity, & Inclusion

Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation.

We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized healthcare experience to everyone in our communities.

We enjoy the important work we do every day in service to our members, partners, colleagues, and communities.