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[Remote] Director - Payer Analytics

Remote · Turkey Full-time

Note: The job is a remote job and is open to candidates in USA. SCA Health is a healthcare organization focused on delivering patient-centered practice solutions and enhancing specialty care. They are seeking a Data & Analytics Director with healthcare claims and data analytics experience to support their Health Innovation Value Enterprise (HiVE) Team, responsible for developing innovative strategies and analyzing large datasets to inform decision-making.

Responsibilities

  • Provide data support in the development and performance of specialty focused innovative strategies and risk-based arrangements
  • Evaluate, organize & analyze large claims data sets to perform studies on pricing, utilization, and health care costs for a broad range of specialty healthcare services
  • Develop scalable processes and best practices to ensure consistent and accurate methodologies and approaches when analyzing large data sets
  • Interpret, compile, and disseminate results of analyses with appropriate conclusions and recommendations to assist in team decision making and strategic direction
  • Support cross-functional team members with development, implementation, and maintenance of risk-based opportunity and performance reporting
  • Retrieve, organize, and manipulate data from internal Enterprise Data Warehouse
  • Understand and become an expert on the structure and intricacies of incoming data from external sources
  • Collaborate with other SCAH and Optum business units to enhance and process data as needed
  • Present ideas and participate in meetings - Actively seek new opportunities to contribute
  • Mentor junior analysts and review deliverables as needed
  • Uphold and practice the principles and policies of the SCA Compliance program

Skills

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field
  • 5+ years analytical experience, or 3+ years analytical experience in a Healthcare/Managed Care environment required (i.e. understanding of costs, expected claims, diagnosis codes, procedure codes)
  • Strong written and verbal communication skills and experience collaborating with cross-functional partners and presenting analytical findings to non-analytical audiences and stakeholders
  • Proven intellectual curiosity and drive to serve teammates and partners
  • Superior analytical and critical thinking skills with exceptional attention to detail
  • Ability to travel 5-10% of the time to team, partner, and health plan meetings
  • Advanced proficiency in MS Excel
  • MS SQL Server (Strong command over T-SQL) required
  • Experience in hospital, health plan, risk-based care delivery organizations or physician claims analytics
  • Experience with managed care contract terms
  • Proficiency with Tableau Desktop, or similar visual analytics platform

Benefits

  • Medical, dental, and vision coverage
  • 401k plan with company match
  • Paid time off
  • Life and disability insurance

Company Overview

  • SCA Health is a national surgical and practice management company serving over two million patients each year at more than 370 clinical locations and 250 physician practice clinics. It was founded in 1982, and is headquartered in Birmingham, Alabama, USA, with a workforce of 10001+ employees. Its website is http://scasurgery.com.
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