Provider Network Reimbursement Analyst

WPS—A health solutions company • Fitchburg, WI

8h • $73,000 - $78,000 • Hybrid

About The Position

The Provider Network Reimbursement Analyst completes data analyses to support operational and strategic decision-making for the organization. The role is responsible for the collection, analysis, interpretation, and presentation of data from various sources, making data and analyses accessible, and delivering actionable data summaries and analyses. The Provider Network Reimbursement Analyst develops and recommends provider network reimbursement rates and processes that support the organization’s growth opportunities and competitive position in the market.

Requirements

• Bachelor’s degree or equivalent in Business, Economics, or Healthcare Informatics
• Three (3) or more years in healthcare analytics, operations or business intelligence/data analytics developing visualization tools (for example, Power BI, Qlik Sense, Tableau, etc)
• Demonstrated experience with data summarization and development and presentation of data analyses
• Ability to evaluate data sources and identify the most efficient data extract and analysis tools
• Proficient with relational databases and data query tools (for example, SAS, SQL, etc)
• Strong problem solving, critical thinking, and analytical skills.
• Excellent written and verbal communication skills with the ability to influence and build relationships across various stakeholders.
• High speed cable or fiber internet.
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).

Responsibilities

• Conduct data analysis to support operational and strategic recommendations for the organization.
• Develop and maintain data visualization tools, including dashboards and reports, that enhance communication and engagement and support decision-making.
• Document data definitions, methodologies, and reporting processes.
• Monitor key performance indicators (KPIs) and provide actionable insights.
• Present data analysis findings at internal and external meetings and collaborate on resulting actions.
• Oversee data analysis and reporting timelines to ensure requests are completed on time and meet business requirements.
• Serve as a resource for researching claim and provider issues, identifying root causes, and presenting recommendations for resolution.
• Other job-related responsibilities may be assigned as required.

Benefits

• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Professional and Leadership Development Programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level