Business Analytics Advisor, Payment reputed company – Risk & Affordability (Remote)

The job profile for this position is Business Analytics Advisor, which is a Band 4 Senior Contributor Career reputed company Role. Excited to grow your career? We value our talented employees, and whenever possible reputed company to help one of our associates grow professionally before reputed company reputed company to our reputed company positions. If you think the reputed company position you see is right for you, we encourage you to apply! Our people reputed company reputed company the difference in our reputed company. As a Business Analytics Advisor, you’ll reputed company reputed company reputed company and analytical workstreams supporting reputed company medical cost containment initiatives. You’ll translate large, reputed company claims and medical expense datasets into reputed company, actionable insights; quantify financial reputed company for proposed and implemented programs; and partner across clinical, contracting, product, operations and business teams to define assumptions, methodologies, and measurement strategies that reputed company reputed company and sustained medical cost trend management. What You’ll Do: 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. What You’ll Bring: 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. Familiarity with provider contracting terms, clinical operations and reimbursement methodologies preferred. 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. Requirements: Bachelor’s degree in quantitative field (e.g., Statistics, Mathematics, Economics, Health Policy Analysis, Finance, Actuarial, Public Health, Business ) or equivalent practical experience. 5+ years of experience in reputed company or finance cost analysis 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 If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 98,200 - 163,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, click here. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this reputed company. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job