Strategic Analytics and Contracts Senior Analyst
About The Position
The Strategic Analytics and Contracts Senior Analyst provides innovative and sophisticated analysis in support of Moffitt's payer strategy initiatives. The role manages payer contracts, including implementing contract rates in systems, tracking and loading rate changes, testing contracts, and evaluating contract performance. It also provides financial and strategic modeling, including alternative payment models (APMs), and prepares periodic analysis and reports for leadership while maintaining quality and accuracy. The position supports contract administration and negotiation through reimbursement modeling, analysis of actual versus expected reimbursement, review of payer terms and fee schedules, and financial analyses such as budgeting, forecasting, cost savings, gross margin, profitability, and risk assessment. It analyzes contract performance and healthcare cost trends, prepares monthly and ad hoc reports, and develops business insights, dashboards, databases, and presentations using business intelligence tools. In partnership with IT, the analyst tests decision support software updates and supports application upgrades and go-live activities related to contract management. The role also leads cross-functional initiatives, manages timelines and deliverables, identifies process and control improvements, mentors team members, and provides training. This is a hybrid role.
Requirements
- Bachelor's degree in Economics, Statistics, Information Sciences, Medical Informatics, Computer Science, or a healthcare-related field.
- Minimum 10 years of experience in oncology financial analysis and/or medical economics, managed care contract implementations, and/or hospital revenue cycle configuration and system support.
- Experience with managed care contract administration.
- Experience applying commercial and governmental payer reimbursement methodologies to model and analyze hospital, physician, and transplant contracts.
- Experience supporting contract negotiations, creating reimbursement scenarios, and assessing risk.
- Experience extracting business insights from large datasets, reporting findings, and presenting to leadership.
- Experience in financial and strategic modeling, including budgeting and forecasting, cost savings analysis, gross margin and profitability analysis, and alternative payment models (APMs).
- Experience administering managed care and decision support systems.
Responsibilities
- Perform contract administration using an advanced understanding of reimbursement methodologies and their effects on internal systems and departments.
- Load, maintain, and update contracts in the EHR.
- Maintain contract management module functionality in decision support systems, including PMMC and Soarian.
- Complete multiple contract updates in accordance with department policies and leadership direction.
- Provide reimbursement contract models for contract negotiations.
- Compare actual and expected reimbursement and detail reimbursement by service line.
- Review payer contract terms, fee schedules, and percent-of-charge arrangements.
- Develop alternative payment models (APMs) and report on current and future APMs.
- Perform budgeting and forecasting, cost savings analysis, gross margin and profitability analysis, and risk assessment.
- Evaluate actual contract performance against expected performance, analyze patterns, and identify trends.
- Provide financial analysis for clinical pathways, including identifying cost drivers and trends in the cost of patient care.
- Prepare monthly reporting packages and respond to ad hoc reporting requests.
- Extract data from large datasets, query data cubes, and build dashboards and databases using BI suites such as Power BI and Tableau.
- Prepare presentations that share findings and recommendations with multiple levels of leadership.
- In partnership with IT, test decision support system software updates and upgrades.
- Support application upgrades and system function evaluations, including testing and go-live support for contract management functionality.
- Lead cross-functional initiatives and manage timelines and deliverables.
- Identify, recommend, and implement process and control enhancements.
- Mentor team members as needed and provide training.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
