JOB SUMMARY:
Responsible for collection, aggregation, analysis, and presentation of decision support tools for Community Health Choice's contracting department. Supports proposal and counter-proposal development, tracks financial performance of existing contracts and programs and ensures alignment with health plan budgets and forecasts. Contributes to innovative payment models that fundamentally improve the way that healthcare is delivered and reimbursed. Heavy emphasis on hospital contract modeling.


MINIMUM QUALIFICATIONS:

1. Education/Specialized Training/Licensure:
   • Bachelor's degree preferred in Healthcare Management, Statistics, Economics, Mathematics, Information Systems, or similar.
2. Work Experience:
   • Four (4) + years of experience in business performance reporting, data analysis, and hospital contract modeling.
3. Management Experience :
   • Two (2) to Four (4) years management or team leadership experience.
4. Software Operated:
   • Microsoft Office (Word, Excel, Outlook)

Other Requirements:

• Experience in a complex healthcare delivery environment, specifically with government-sponsored programs.
• Familiarity with a variety of healthcare data, including claims, provider, utilization, and call center data.
• Intermediate to excellent Excel and SQL knowledge.
• Familiarity with Power BI tools.
• Knowledge of QNXT and NetworX.
• Deep understanding of payer-provider contracts that govern reimbursement and the healthcare revenue cycle.
• Experience working in a fast-paced environment.
• A personal, systematic approach to problem characterization and solution development.
• Experience with value-based contracting models, including shared savings and risk-based arrangements.

Work Schedule: Flexible