Lead programs to identify and measure cost-saving initiatives.
Mentor team members and plan development for growth.
Develop financial models to assess costs/impacts of clinical programs; run sensitivity tests.
Analyze integrated claims data to identify cost drivers and trends.
Design retrospective studies to compare outcomes with projections.
Promote best practices in documentation.

🎯 Requirements

Bachelor's degree in a STEM field.
7+ years of quantitative analysis experience.
Experience in health insurance payer analytics; CPT/HCPCS, ICD-10, DRGs.
SOA Associate or Fellow, or on track to become one.
ROI measurement experience for clinical interventions.
Knowledge of prior authorization optimization and automation.

🎁 Benefits

Medical, dental, and vision benefits.
11 paid holidays and paid sick time.
Paid parental leave.
401(k) plan participation.
Life and disability insurance.
Paid wellness time and reimbursements.

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