Health Care Service Corporation

Mgr. G&IM Provider Network Analytics & Insights (Remote)

Health Care Service Corporation • $112K — $202K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Math, Actuarial Science, Business Statistics, Accounting, or Finance, or 4 years of relevant experience.
  • 5 years of experience interfacing with external clients or presenting analytic results to various audiences.
  • 5 years of experience in data analysis and reporting related to healthcare data.
  • 2 years of leadership experience.
  • Strong negotiation, decision-making, organizational, and analytical skills.
  • Excellent verbal and written communication skills, including presentation abilities.
  • Proficient in Access, Excel, Word, and PowerPoint.

Responsibilities

  • Manage data sets and analytical tools to provide strategic insights for provider networks.
  • Lead a team of analysts to enhance their quantitative skills and capabilities.
  • Drive reimbursement negotiations and business growth strategies using professional pricing models.
  • Foster relationships with key internal and external stakeholders.
  • Implement innovative data methodologies to improve reporting functions.

Benefits

  • Health and wellness benefits.
  • 401(k) savings plan and pension plan.
  • Paid time off and parental leave.
  • Disability insurance and supplemental life insurance.
  • Employee assistance program and paid holidays.
  • Tuition reimbursement and other incentives.
Full Job Description
Job Summary

This position manages the data sets, analytical tools, and reporting functions required to deliver strategic provider network insights. This role leads a team of analysts, developing their quantitative capabilities while leveraging professional pricing models to drive reimbursement negotiations and business growth strategies. Additionally, the position fosters key internal and external stakeholder relationships and actively implements innovative data methodologies.

Job Requirements:
  • Bachelor's degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years' experience.
  • 5 years' experience interfacing with external clients, large employers, brokers, or consultants OR 5 years' experience in presenting analytic results to both internal and external audiences.
  • 5 years' experience in requiring data analysis and information reporting related to healthcare data.
  • 2 years leadership experience.
  • Negotiation, decision-making, organizational, and analytical skills.
  • Verbal and written communication skills, including presentation skills.
  • PC proficiency to include Access, Excel, Word, and PowerPoint.


Preferred Requirements:
  • Experience in a supervisory/management position.
  • Experience with the development and delivery of business intelligence related to provider reimbursement calculations.
  • Experience generating prospective financial modeling of provider reimbursement scenarios
  • Experience in Project Management
  • Working knowledge of SQL, Python and/or Dataiku (Data Science Studio)


Sponsorship is not available.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Base Pay Range
$112,200.00 - $202,600.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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