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Senior Payer Analytics Analyst

Company: Surgical Care Affiliates
Location: Pasadena
Posted on: April 4, 2021

Job Description:

Location: US-CA-Pasadena - US-IL-Deerfield# of Openings: 1Category: CorporateSystem ID: 13600Overview

Surgical Care Affiliates is currently seeking a Sr. Payer Analytics Analyst. This position can be based out of Pasadena, CA, Deerfield, IL or can be a remote role.

SCA's Catalyst Team supports the enterprise mission and vision while contributing to market / physician alignment strategies alongside Operations, Finance, Development and Business Development. The Catalyst Team is comprised of dynamic individuals who support and lead strategic initiatives by better aligning with health plans, health systems and medical groups that seek to achieve the triple aim, and by developing better tools to help independent physicians - our primary customers - to succeed in the years to come.

Benefits:

  • Generous Paid Time Off including 8 paid holidays
  • Maternity/paternity /adoption benefits
  • Comprehensive medical, vision and dental insurance - eligible on Day 1 of employment
  • Employer-paid life and short and long term disability insurance
  • Excellent 401(k) Plan

    Accountabilities / Responsibilities

    • Support cross-functional team members with development, implementation, and maintenance of operational reports and dashboards
    • Develop effective quality control processes to ensure data integrity
    • Partner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive models that reflect these inputs
    • Collaborate with regional business development leaders to evaluate potential investments and re-syndications, typically using a combination of external claims data and internal reference prices
    • Perform research on payers' membership footprint and market strategy as may be relevant for negotiation purposes
    • Partner with SCA's Payment Innovation team to develop value-based contracts with strategic payer partners
    • Build the Managed Care budget for future years together with Payer Engagement
    • Support market strategy reviews; specifically, understanding the payer landscape and potential hospital to ASC volume migration opportunities
    • Periodically review and provide guidance on facility charge masters
    • Analyze payment data to ensure accurate and adequate payment during contract modeling
    • Lead custom analytics relating to any of the above and special projects as requested
    • Ask thoughtful questions about execution and business context across different lanes
    • Present ideas and participate in meetings - Actively seek new opportunities to contribute
    • Uphold and practice the principles and policies of the SCA Compliance program

      Qualifications

      • Bachelor's degree in Business Administration, Finance, Accounting, or related field
      • Minimum of 4-5 years of experience in Healthcare or related field
      • Travel to health plan meetings, company meetings, center visits, etc. (10%)
      • Experience with Risk Based Care Delivery Organizations and Contracting
      • Experience in hospital, provider, or physician analytics a plus
      • Highly proficient in Excel and SQL, specifically including building queries and data connections to access a data warehouse and/or manipulate large datasets, experience with Tableau a plus
      • Advanced level of proficiency with Microsoft, Word, and PowerPoint
      • Acute attention to detail and strong analytical and critical thinking skills
      • Strong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholders
      • Motivation to achieve individual and team goals, must be able to work independently and in a team environment
      • Working knowledge of revenue cycle management and managed care contracting related fields strongly preferred
        EEO Statement
        We value Diversity, Inclusion, and Belonging at Surgical Care Affiliates: SCA is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, national origin, disability and genetic information, or any other characteristic protected by law.

        UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

        #DP #SCA #SurgicalCareAffiliates

        Skills Required

        SCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com. PI133046354

Keywords: Surgical Care Affiliates, Pasadena , Senior Payer Analytics Analyst, Accounting, Auditing , Pasadena, California

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