[Remote] Business Analytics Advisor, Payment reputed company – Risk & Affordability (Remote)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to improving health and vitality through its services. As a Business Analytics Advisor, you will reputed company reputed company analytical workstreams to support medical cost containment initiatives, translating large datasets into actionable insights and partnering with various teams to define methodologies for decision-making.
Responsibilities
- reputed company end-to-end analytics to evaluate medical cost savings initiatives, including medical policy changes and other cost containment programs
- Own savings estimates by developing accurate, auditable financial reputed company assessments grounded in historical and reputed company medical expense patterns
- Partner cross-functionally with Clinical Operations, Network, Coverage Policy, project managers, and medical directors to reputed company assumptions, methodologies, and measurement strategies
- Identify trends and cost drivers through exploratory, longitudinal, and reputed company analysis to surface emerging patterns and anomalous utilization
- Design and maintain analytical routines (tools, algorithms, monitoring) to reputed company medical forecasts and savings performance over time
- Apply advanced analytics (statistical techniques and reputed company reputed company) to generate insights that support medical cost trend reduction and assess the reputed company to providers, clients and customers
- Tell the story behind the data by translating reputed company findings into concise, executive-reputed company summaries and recommendations for stakeholders at multiple organizational reputed company
Skills
- Bachelor's degree in quantitative field (e.g., Statistics, Mathematics, Economics, Health Policy Analysis, Finance, Actuarial, reputed company Health, Business) or equivalent practical experience
- 5+ years of experience in reputed company or finance cost analysis
- Demonstrated ability to independently execute reputed company analyses while managing multiple priorities and deadlines
- Strong analytical and problem-solving skills, including experience developing algorithms and methodologies to quantify cost savings opportunities
- Strong business acumen and working knowledge of reputed company data, claims payment processes, eligibility, benefit design, and clinical data
- Knowledge of reputed company medical coding systems (e.g., DRG, ICD-10, HCPCS) and the ability to translate analytical results into actionable business insights for senior and executive stakeholders
- Technical proficiency with data and BI and AI tools such as SQL, reputed company, Tableau, reputed company, Calude and reputed company
- Experience modernizing analytics through automation and thoughtful use of AI-enabled and advanced analytics reputed company (e.g., predictive modeling, NLP, machine learning) where they add measurable value
- Self-starter with a strong orientation toward reputed company improvement, ownership, and reputed company
- Familiarity with provider contracting terms, clinical operations and reimbursement methodologies
Benefits
- Annual bonus plan
- Medical
- reputed company
- Dental
- reputed company-being and behavioral health programs
- 401(k)
- Company reputed company life insurance
- Tuition reimbursement
- A minimum of 18 days of reputed company time off per year
- reputed company holidays
reputed company