University of Southern California

Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)

Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a related field is required.
  • 4 years of experience with data analytics in healthcare or managed care.
  • Proficient in Microsoft Excel and Word.
  • Knowledge of databases, spreadsheets, and statistical software is necessary.
  • Experience in HIM, Clinical Revenue Integrity, or Revenue Cycle is required.
  • Strong analytical thinking and problem-solving capabilities are essential.
  • Excellent verbal and written communication skills are a must.

Responsibilities

  • Identify new data sources and methods for improved collection and reporting.
  • Provide business data trend information to support actionable recommendations.
  • Collaborate with management to develop best practices and benchmarks.
  • Evaluate and refresh bundle payment pricing.
  • Analyze payor contract performance for strategic alignment opportunities.
  • Oversee database maintenance for data collection and reporting.
  • Create dashboards and reports on key metrics and project status.

Benefits

  • Access to ongoing professional development and continuing education opportunities.
  • Opportunities for collaboration with management and cross-functional teams.
  • Engagement in meaningful projects that support healthcare operations and strategy.
Full Job Description
The Senior Payor Strategy and Network Development Analyst performs data analyses and interprets results using a variety of techniques to support business practices. Responsibilities include but are not limited to creating/developing reports, evaluating contract performance, compiling and monitoring key managed care statistics, and assisting with key projects for the managed care team. Uses a variety of data sources and analysis techniques to support operations, reporting and planning. The Senior Analyst provides recommendations and conclusions gained from analyzing data using statistical methods and tools. Researches best practices, develops benchmarks, and provides dashboard metrics to management leadership. Develops a variety of reporting tools for distribution. Provides input into decisions affecting business operations and strategic initiatives.

Essential Duties:
  • Identify new sources of data and methods to improve data collection, analysis, and reporting.
  • Provides business data trend information to support recommendations for action.
  • Collaborates with management on matters of best practices, appropriate statistical measures and benchmarking.
  • Provides recommendations to management as appropriate.
  • Evaluate and refresh bundle payment pricing.
  • Oversees or performs maintenance and development of databases for collecting data and reporting purposes.
  • Analyze and evaluate payor contract performance to identify opportunities for strategic alignment.
  • Ensures data errors are addressed. Provides technical support and design enhancements.
  • Creates status reports on project plans, progress and results of activities.
  • Ensure compliance with deliverable reporting requirements by performing quality data audits and analysis
  • Demonstrate clear, effective communication, team building, and interpersonal, strong organizational, problem solving decision-making skills.
  • Assures data systems are functioning properly for easy data entry and data retrieval by analyzing data for duplicates, missing info., or other errors (i.e. validate and correct)
  • Produces trend reports and identifies variances to target metrics
  • Create and present payor and provider dashboards.
  • Measure and monitor referral trends for various providers and payors to help inform discussions around provider/payor engagement.
  • Demonstrate self directed learning and participates in continuing education to meet own professional development
  • Demonstrate ability to prioritize and maintained a level-headed approached when faced with unforeseen occurrences.
  • Performs other duties as assigned.


Required Qualifications:
  • Req Bachelor's Degree Degree in a related field
  • Req 4 years Experience with data analytics in healthcare or managed care.
  • Req Proficient PC skills and ability to work proficiently with Microsoft Excel, and Word.
  • Req Working knowledge of databases, spreadsheets, word processing and statistical software programs.
  • Req Working knowledge of business statistics and data analyses techniques.
  • Req Previous healthcare experience in HIM/Clinical Revenue Integrity/Revenue cycle.
  • Req Ability to manage and analyze data.
  • Req Strong analytical thinking and problem solving skills.
  • Req Exceptional time management skills with ability to meet tight deadlines.
  • Req Outstanding organizational and problem-solving aptitude.
  • Req Excellent verbal and written communication skills.
  • Req Ability to analyze information and develop comprehensive solutions to address practical work related issues.
  • Req Ability to be organized and simultaneously manage multiple projects.
  • Req Ability to perform well in a team environment, including all levels of staff, to achieve business goals.
  • Req Ability to work independently to meet objectives.
  • Req Exhibits technical and operational proficiency solving problems of moderate complexity.
  • Req Contributes to completion of projects and programs in area of expertise.


Preferred Qualifications:
  • Pref Master's degree Degree in a related field


Required Licenses/Certifications:
  • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)


The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
https://wd5.myworkday.com/usc/d/inst/1$9925/9925$145302.htmld

About University of Southern California

The University of Southern California (USC) is a private research university located in Los Angeles, California. It was founded in 1880 and is the oldest private research university in California. USC offers undergraduate, graduate, and professional degree programs in a wide range of fields, including business, law, engineering, medicine, and the arts. The university is known for its strong athletic programs, particularly in football and basketball. USC has a diverse student body, with students from all 50 states and more than 100 countries. The university has a total enrollment of approximately 47,000 students, including 28,000 undergraduate students.
Learn more about University of Southern California
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