[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.ResponsibilitiesProvide data support in the development and performance of specialty focused innovative strategies and risk-based arrangementsEvaluate, organize & analyze large claims data sets to perform studies on pricing, utilization, and health care costs for a broad range of specialty healthcare servicesDevelop scalable processes and best practices to ensure consistent and accurate methodologies and approaches when analyzing large data setsInterpret, compile, and disseminate results of analyses with appropriate conclusions and recommendations to assist in team decision making and strategic directionSupport cross-functional team members with development, implementation, and maintenance of risk-based opportunity and performance reportingRetrieve, organize, and manipulate data from internal Enterprise Data WarehouseUnderstand and become an expert on the structure and intricacies of incoming data from external sourcesCollaborate with other SCAH and Optum business units to enhance and process data as neededPresent ideas and participate in meetings - Actively seek new opportunities to contributeMentor junior analysts and review deliverables as neededUphold and practice the principles and policies of the SCA Compliance programSkillsBachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field5+ 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 stakeholdersProven intellectual curiosity and drive to serve teammates and partnersSuperior analytical and critical thinking skills with exceptional attention to detailAbility to travel 5-10% of the time to team, partner, and health plan meetingsAdvanced proficiency in MS ExcelMS SQL Server (Strong command over T-SQL) requiredExperience in hospital, health plan, risk-based care delivery organizations or physician claims analyticsExperience with managed care contract termsProficiency with Tableau Desktop, or similar visual analytics platformBenefitsMedical, dental, and vision coverage401k plan with company matchPaid time offLife and disability insuranceCompany OverviewSCA Health is a national surgical and practice management company serving over two million patients each year at more than 370 clinical locations and 250 physician practice clinics. It was founded in 1982, and is headquartered in Birmingham, Alabama, USA, with a workforce of 10001+ employees. Its website is http://scasurgery.com.