[Remote] Director - Payer Analytics

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