Remote Senior Analytics Consultant

Summary

The Senior Analyst – Provider Network Analytics will provide analytical support to Network Management and Contracting at Brighton Health Plan Solutions. The role involves developing forecasting models, conducting analysis specific to provider financial arrangements, and performing medical cost trend analysis. A Bachelor's Degree in certain fields and 4-6 years of experience are required.

Requirements

• Bachelor's Degree in Mathematics, Statistics, Finance, Computer Science, Information Systems, Data Science, Analytics, Engineering, Economic Sciences, Actuarial Science or related field
• 4-6 years of experience in an analytical or actuarial focused capacity at a health plan or consulting firm required, preferably in a managed care setting
• Proficiency in SQL and Microsoft SQL Server Suite of Products (SSMS) required
• Proficiency in MS Excel required

Responsibilities

• Collaborate with Network Management and Contracting to provide ongoing analytical support
• Develop and maintain forecasting models, and analytical reports and dashboards
• Develop actionable data insights that inform network strategy
• Support financial and actuarial components of product and network development, including evaluation of new products
• Conduct analysis specific to the medical economics underlying provider financial arrangements in support of new business, client and provider retention efforts
• Provide financial analysis for more complex and/or larger health plan clients, such as alternative provider network configurations
• Perform medical cost trend analysis and identify cost savings opportunities
• Evaluate provider networks based on available benchmarks and published data sources

Preferred Qualifications

• Experience with Business Intelligence applications and DAX functions (PowerPivot, Power BI, Tableau) a plus
• Experience with evaluating carrier rates using external sources (i.e. MRFs) a plus
• Experience with alternative payment models (i.e. value-based payment models, bundled payment arrangements) a plus

Benefits

• Excellent quantitative and problem-solving skills
• Excellent oral and written communications skills
• Ability to exercise professional judgement independently
• Ability to explain technical concepts to a non-technical audience
• Ability to effectively manage and prioritize several concurrent projects