Senior Network & Provider Analytics

Harvard Pilgrim Health Care Inc

Base: $83,235.23 - $124,852.85; bonus/equity: vari...
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Financial and utilization analytics
Provider negotiation support
Managed care reimbursement knowledge
** Point32Health is seeking a Senior Network & Provider Analytics professional to enhance their healthcare delivery through data analytics and provider contract management. The role involves financial analytics, reporting, and project management to support provider negotiations and improve performance metrics within a collaborative, inclusive culture. **

Job Summary

  • Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare to nearly 2 million members.
  • The Senior Network Performance Analyst is responsible for designing reports and financial analytics, supporting provider negotiations, and leading cross-functional projects to improve provider performance.
  • Point32Health offers a comprehensive total rewards package including medical, dental and vision coverage, retirement plans, paid time off, and well-being benefits.

Matching Summary

Match Score: 75

** Point32Health is seeking a Senior Network & Provider Analytics professional to enhance their healthcare delivery through data analytics and provider contract management. The role involves financial analytics, reporting, and project management to support provider negotiations and improve performance metrics within a collaborative, inclusive culture. **

Salary

Base: $83,235.23 - $124,852.85; Bonus/Equity: Variable pay eligibility; Benefits: Medical, dental, vision, retirement, paid time off, life and disability insurance

Skills & Requirements

Must-have

  • financial and utilization analytics
  • provider negotiation support
  • managed care reimbursement knowledge
  • SAS/SQL programming skills
  • advanced Excel and Access proficiency
  • regulatory submission experience

Nice-to-have

  • Power Query and Tableau skills
  • strategic thinking and problem-solving
  • strong interpersonal and collaboration skills
  • project management and team leadership
  • experience with health care claims data and coding

Key Requirements

  • Bachelor's degree in Business Administration, Finance, or Health Services
  • 3-5 years professional experience; 5-7 years preferred
  • experience with Provider and/or Payer Machine Readable Files (MRF)
  • New England health care market experience preferred
  • SAS/SQL programming required
  • ability to submit regulatory requests

Work Rights

Not specified

Tailored Resume

Cover Letter