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Senior Payer Analytics Analyst

Company: Surgical Care Affiliates
Location: Pasadena
Posted on: April 9, 2021

Job Description:

Location: US-CA-Pasadena - US-IL-Deerfield# of Openings: 1Category: CorporateSystem ID: 13600OverviewSurgical 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 holidaysMaternity/paternity /adoption benefitsComprehensive medical, vision and dental insurance - eligible on Day 1 of employmentEmployer-paid life and short and long term disability insuranceExcellent 401(k) Plan Accountabilities / ResponsibilitiesSupport cross-functional team members with development, implementation, and maintenance of operational reports and dashboardsDevelop effective quality control processes to ensure data integrityPartner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive models that reflect these inputsCollaborate with regional business development leaders to evaluate potential investments and re-syndications, typically using a combination of external claims data and internal reference pricesPerform research on payers' membership footprint and market strategy as may be relevant for negotiation purposesPartner with SCA's Payment Innovation team to develop value-based contracts with strategic payer partnersBuild the Managed Care budget for future years together with Payer EngagementSupport market strategy reviews; specifically, understanding the payer landscape and potential hospital to ASC volume migration opportunitiesPeriodically review and provide guidance on facility charge mastersAnalyze payment data to ensure accurate and adequate payment during contract modelingLead custom analytics relating to any of the above and special projects as requestedAsk thoughtful questions about execution and business context across different lanesPresent ideas and participate in meetings - Actively seek new opportunities to contributeUphold and practice the principles and policies of the SCA Compliance program QualificationsBachelor's degree in Business Administration, Finance, Accounting, or related fieldMinimum of 4-5 years of experience in Healthcare or related fieldTravel to health plan meetings, company meetings, center visits, etc. (10%)Experience with Risk Based Care Delivery Organizations and ContractingExperience in hospital, provider, or physician analytics a plusHighly 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 plusAdvanced level of proficiency with Microsoft, Word, and PowerPointAcute attention to detail and strong analytical and critical thinking skillsStrong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholdersMotivation to achieve individual and team goals, must be able to work independently and in a team environmentWorking knowledge of revenue cycle management and managed care contracting related fields strongly preferredEEO StatementWe 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 RequiredSCA, 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 PI133046354

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

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