Senior Pricing Analyst jobs at Evolent Health - 3360 jobs
Analyst, Performance Suite Analytics
Evolent 4.6
Senior pricing analyst job at Evolent Health
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions.
Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the support, tools, and skills to positively contribute to Evolent's broader mission.
**Collaboration Opportunities:**
The Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on the organization and patient health. This role will support the Medical Cost Management activities, working in a Medical Economics team that supports Business Development and new product efforts.
+ Support the underwriting of capitated risk proposals involving cost & use projections, trend selection/development, and estimation of Evolent's ability to reduce cost and improve quality.
+ Support the design of financial arrangements that are equitable for both Evolent and our Partners.
+ Support the development of models and approaches aimed at quantifying and articulating our value.
+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings.
+ Draw actionable conclusions from analyses and effectively communicate to internal/external audiences at various levels of the enterprise.
+ Translate analyses into Customer-ready deliverables using available visualization tools.
+ Provide support and facilitate interaction with customers in a manner that fosters expertise and cooperation.
+ Process and validate raw unadjudicated claims data
+ Use programming skills to explore, examine and interpret large volumes of data in various forms to complete deliverables with minimal assistance and oversight.
**Qualifications Required and Preferred:**
+ Bachelor's degree, preferably with a quantitative major (e.g. actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration, epidemiology, public health, biology)
+ 1-2 years of professional experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care, or related healthcare consulting entity
+ Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs
+ Exceptional analytical and communication skills with the ability to identify and translate insights from quantitative and qualitative data
+ Proficiency in SQL or SAS database/statistical programming languages or related programming language
+ Advanced proficiency in Microsoft Excel
+ Experience in data mining, advanced/ statistical analysis, and data manipulation
+ Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. **Preferred.**
+ Experience using data visualization software (s) to package analytical insights (Power BI, Tableau, or similar)- **Preferred.**
+ Master's Degree, especially with a quantitative focus (e.g. data science, machine learning, statistics, mathematics, computer science, or engineering)- **Preferred** .
+ Working knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service- **Preferred.**
+ Familiarity with value-based care and utilization management- **Preferred.**
+ Understanding of data systems and the critical thinking skills to solve new problems and adapt to changes in data architecture- **Preferred.**
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.**
The expected base salary/wage range for this position is $65,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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A leading medical technology company is seeking a Post Market Surveillance Analyst to support their Neurovascular Division. This hybrid role involves processing customer complaints, ensuring compliance with regulatory requirements, and working closely with local teams and quality investigators. Candidates should possess a BS in Engineering or Science and strong time management and communication skills. Join us in making a difference in patient care from Fremont, CA, with a flexible working model.
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$69k-103k yearly est. 2d ago
Prospect Management Analyst
Boston Children's Hospital 4.8
Boston, MA jobs
The Prospect Management Analyst is a core member of the Trust's prospect management team, responsible for establishing protocols for best practices, devising and leading training for end users. Oversees data integrity and workflow practices between frontline and operational teams, gathering and translating business requirements for report modifications and analytical tools. Responsible for admin of global processes in the Prospect module of Blackbaud CRM, as well as oversight of established portfolio management procedures. Devises and conducts routine auditing and analysis on data in the Prospect Management domain, which underlies performance metrics for gift officer activity and efficacy and related analytics.
Responsibilities
The Prospect Management Analyst plays a key role in establishing and maintaining the core competencies of Trust staff related to CRM, our integrated enterprise data platform. Consistently meeting business, reporting, and analytics requirements of the Trust's fundraising management
Designs and creates policy and procedure documents emanating from Trust Data Governance Business Rules for Prospect Management (plans) domains
Maintains version control of documents and modifications as practices evolve
As the key trainer and technical support for Trust administrative staff, the Prospect Management Analyst supports gift officers across all business units, as well as dissemination and communication of changes in business practices (as needed) to Trust admin staff
Leads the records administration of prospect management metadata in CRM conducting bulk uploads and changes, diagnoses integrity and QC issues recommending solutions. Delegates and supervises administrative staff as necessary for fulfillment of prospect management records diagnostics, corrections, and entry projects
Sets the agenda for bimonthly “CRM Q&A's” with admin staff, featuring Directors and Senior Directors from Data Steering Committee
Participates with Records Management, Prospect Management and other Data Governance task teams as appropriate
Education Requirements
A Bachelor's degree and a min of 3 years in a fundraising or direct sales business environment are required.
The knowledge of theories, principles and concepts and technical proficiency typically acquired through 2-3 years of experience using an enterprise‑level relational database is required.
Experience
Direct oversight of functions related to data admin, data integrity, and records management preferred
Experience with Blackbaud CRM and Tableau
Understanding of and experience with process management and/or process improvement concepts, and commensurate related skills including communication, coaching ability, persistence, critical thinking and ability to see the big picture
Strong communication, writing, formatting and editing skills and proficiency in writing and/or editing training and support documentation that emphasizes orderly presentation of information and clear instructions.
The ability to prioritize, manage multiple tasks, and work under pressure to meet deadlines. May require oversight of entry level and/or temporary data entry operators. May require oversight of learning pathways for administrative and frontline staff related to their proficiency in using CRM to manage their prospects and prospect portfolios.
The ability to collaborate with immediate team members as well as Trust staff, donors and volunteers
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$75k-107k yearly est. 2d ago
Data Insights Analyst - Growth & Operations
General Medicine Inc. 3.7
San Francisco, CA jobs
A healthcare solutions company seeks an Analyst in San Francisco. You'll analyze healthcare data, build dashboards, and provide actionable insights to leadership. Ideal candidates have 2+ years in analytical roles and should be proficient in SQL and Excel. This position offers the chance to make a significant impact as the first analyst in a fast-paced environment, with opportunities for growth and innovation in consumer healthcare.
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$69k-97k yearly est. 4d ago
Revenue Management Analyst
Peregrine 4.4
Denver, CO jobs
CO - Corp Office 320 Fillmore St Denver, CO 80206, USA
Starting from $70,000.00 - $90,000.00 annually plus additional incentives
The total compensation package for this position may also include other elements, including a performance bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Pay is based on location, experience, and qualifications etc.
Position Overview
We are seeking a highly motivated and detail-oriented Revenue Strategy Analyst to join our dynamic team supporting a portfolio of branded hotels (Marriott and Hilton). The analyst will support the strategic execution of revenue management, distribution, and analytics functions, contributing directly to the performance of the Peregrine properties across different markets.
This role is ideal for someone passionate about hospitality, data analysis, and commercial strategy, and looking to grow within the field of revenue optimization.
Key Responsibilities
Ensure rate parity across all online distribution channels (Brand.com, OTAs, GDS).
Set up and manage promotional offers and packages.
Create and maintain rate codes in collaboration with brand systems and property teams.
Manage third-party distribution partners, including tour operators and wholesalers.
Oversee reservation flow from select distribution channels and ensure inventory integrity.
Strategic Analysis & Reporting
Conduct pace and pickup analysis to monitor demand trends and booking behavior.
Analyze historical and forecasted data to identify revenue opportunities.
Monitor and report competitive set performance by segment (e.g., transient, group, corporate).
Support annual budgeting and forecasting processes with data inputs and analysis.
Data & Tools Management
Maintain and improve databases and reporting tools for internal use.
Develop and automate regular performance reports and ad-hoc analyses.
Leverage brand tools, STR, Demand360, and other data sources to support insights and decision-making.
Revenue Management & Inventory Control
Manage and balance room inventory using brand systems (e.g., Marriott One Yield, Hilton GRO).
Monitor and adjust room type availability to maximize revenue and occupancy.
Review and validate pricing and inventory recommendations from automated revenue management systems.
Participate in weekly revenue strategy meetings with hotel and commercial teams.
Market & Event Monitoring
Monitor market trends, citywide events, and local demand drivers.
Provide strategic pricing recommendations based on changes in market conditions.
Conduct ongoing competitive research and benchmarking.
Required Skills & Qualifications
A strong interest in hotel revenue management and commercial strategy.
Bachelor's degree in Hospitality, Business, Economics, or a related field preferred.
Proficiency with Excel and general Microsoft Office tools; experience with Power BI or Tableau is a plus.
Familiarity with hotel systems such as PMS, CRS, RMS (Opera, OnQ, Synxis, etc.) is a strong asset.
Excellent analytical and problem-solving skills with strong attention to detail.
Ability to manage multiple priorities in a fast-paced environment.
Strong communication and organizational skills.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
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$70k-90k yearly 1d ago
Market Insights Analyst
Cambia Health Solutions, Inc. 3.9
Portland, OR jobs
**Build a career with purpose. Join our** **to create a person-focused and economically sustainable health care system.*** Ability to think analytically, apply analytical techniques and to provide in-depth analysis for potential recommendations to internal customers* Experience in the analysis of website user experience functionality, and making comparisons between competitive web properties is highly desired.* Ability to communicate effectively, verbally and in writing, with all levels of the work force.* Knowledge of PC software and systems.* Ability to participate in a team atmosphere to achieve department goals and objectives consistent with corporate vision and strategies.* Ability to multi-task, deal proactively with multiple deadlines and shifting priorities in a deadline driven fast paced environment.* Must be familiar with data access tools such as SQL, SPSS, MS Access, etc.* Ability to transform disparate pieces of information into an understandable framework in graphics form, or actionable recommendations.* Ability to analyze and interpret a wide variety of economic, demographic, geographic and marketing data, dissect opportunities and translate into meaningful and actionable recommendations.* Ability to skillfully identify and understand research nuances.* Provide mentoring to less experienced peers.* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired The expected hiring range for a **Market Insights Analyst I** is $24.00 - 31.90/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $24.00 - 41.50/hour.The expected hiring range for a **Market Insights Analyst II** is $64,000 - $81,000/year depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $64,000 - $106,000/year.The expected hiring range for a **Market Insights Analyst III** is $78,000 - $98,000/year depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $78,000 - $128,000/year.The expected hiring range for a **Market Insights Analyst IV** is $94,000 - $118,000/year depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $94,000 - $154,000/year.* Work alongside diverse teams building cutting-edge solutions to transform health care.* Earn a competitive salary and enjoy generous benefits while doing work that changes lives.* Grow your career with a company committed to helping you succeed.* Give back to your community by participating in Cambia-supported outreach programs.* Connect with colleagues who share similar interests and backgrounds through our employee resource groups.* Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.* Annual employer contribution to a health savings account.* Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.* Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).* Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).* Award-winning wellness programs that reward you for participation.* Employee Assistance Fund for those in need.* Commute and parking benefits.Everyone is a health care consumer deserving of a simpler, more personalized experience. is transforming the health care system to revolve around people. For over 100 years we've designed people-first health solutions rooted in the nation's first health plan, a loggers' wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit serving over 3 million Americans.Cambia blends data science with a compassionate human perspective to anticipate people's needs, and empower them to make smarter health care choices..### *Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .*
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$94k-154k yearly 2d ago
Remote Workforce Management Analyst II
Humana Inc. 4.8
Washington, DC jobs
A leading healthcare services company in Washington seeks a Workforce Management Professional 2 to analyze workforce needs and develop operational insights. The role requires 2+ years of scheduling experience, and proficiency in Microsoft Office. This remote position entails occasional travel for training. Competitive salary ranging from $59,300 to $80,900 per year, plus benefits focused on whole-person well-being.
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$59.3k-80.9k yearly 3d ago
Epic Research Analyst
Medisys Health Network, Inc. 3.7
Hicksville, NY jobs
The Epic Research Analyst I will be the principal analyst for the Epic Research module and the Research departments systems that might interface into Epic. They should have a thorough understanding of available technology, tools, and existing designs.
This position is a full-time/salaried opportunity based in Hicksville, Long Island. Onsite schedule for the first 90 days, hybrid thereafter with 2 remote days.
Duties and Responsibilities:
1. Provides guidance, expertise, and solutions related to available system options for build requests throughout all phases of the project development cycle.
2. Works closely with client management, clinical end users, operations, and leadership to identify and specify the complex business needs and processes for diverse development of workflows within the EHR as it applies to Research.
3. Researches and evaluates alternative solutions and recommends the most efficient and cost-effective solutions for the systems design.
4. Performs analysis and system design. May code new or modified programs, reuse existing code with program development software alternatives and/or integrates purchased solutions.
5. Documents, tests, implements, and provides on-going support for the applications.
6. Provides highly technical consulting and leadership in identifying and implementing new uses of information technologies that assist the functional business units in meeting their strategic objectives.
7. Acts as expert technical resource to development staff in all phases of the development and implementation process.
8. Performs related duties as assigned or requested.
Requirements:
· Education: Bachelor's degree, or an equivalent combination of education and work experience.
· Epic proficiency or certification in Epic Research module
· Strong understanding of Epic integration with various
external platforms and systems
· Strong communication, organizational and leadership
skills
$94k-158k yearly est. 3d ago
Market Analytics Analyst II (On-Site)
Redwood Credit Union 3.4
Napa, CA jobs
Redwood Credit Union is looking for a Market Analytics Analyst II, who will be responsible for analyzing data, Member demographics and behavior that results in actionable insights to support internal objectives, product development, and market penetration. The team provides standard reports and analytics to the product owners and management that drive decisions on product, service, geography, and channels. Use business data to identify and segment target audiences. Conduct competitive and market research and analysis. Responsible for a variety of functions needed to support the organization's goals and strategic initiatives.
About Redwood Credit Union (RCU)
At Redwood Credit Union, our mission is to passionately serve the best interests of our Members and communities. Since 1950, we have been dedicated to supporting the financial well‑being of our Members through better rates, low or no fees, and best‑in‑class customer service. Our purpose is to inspire hope and elevate the financial well‑being of our communities one person at a time, through good times and bad.
As a not‑for‑profit financial institution, we are committed to a people‑first approach, which is reflected not only in how we serve our Members, but also in how we treat our employees. Our leadership team is deeply focused on fostering a culture of heart and empathy, integrity, passion, inclusion, meaningful relationships, excellence, and ensuring financial well‑being for all.
Key Responsibilities Department Operations:
Convert data into useful insights used to drive decision making. Use the data warehouse, MCIF system, or third‑party systems along with other data tools and resources to target key audiences. Provide regular reporting and analysis and provide recommendations.
Develop segmentation strategies to contribute to the expansion of relationships.
Proactively identify opportunities for income generation.
Provide information from the data warehouse and/or MCIF and/or work with other departments/vendors to retrieve, review, analyze and communicate key data, results, trends, and implications.
Provide market share data and analysis.
Collect and analyze data on Member demographics, preferences, needs, and buying habits to identify potential markets and factors affecting product demand.
Work with Marketing and Communications/PR Department staff to assist with pre and post data and results analysis for marketing campaigns to determine effectiveness and Return on Investment (ROI), including developing ROI templates. Review regional and national economic data, prior promotional results and suggest strategies for enhanced target marketing and results.
Utilize the data warehouse and/or MCIF and other data to perform market, competitive, product and channel research. Conduct research and collect data for planning initiatives. Provide analysis, summary comments and recommendations; effectively communicate this information.
Prepare reports of findings, illustrating data graphically when appropriate, and translate complex findings into written text that includes analysis, insights, implications, and recommendations.
Seek and provide information to help the Credit Union determine its position in the marketplace.
Work with the Credit Union's Information Technology department to ensure proper data maintenance, uploads, and security.
Provide support on a variety of projects, events, and efforts.
Provide excellent service to Members, Officials, management, staff, vendors, and community contacts and ensures positive relationships with a diverse group of people.
Support management and staff with written/verbal communications and provide reports that include strategic and tactical recommendations to ensure effective results, to include using predictive analytics and tools that aid in targeting.
Participate as a team player in the Market Analytics department and across the organization.
Take active role in community events and contribute to local area non‑profits via volunteerism, expert knowledge sharing, and serve as an ambassador in the community on behalf of RCU.
Competitive and Market Research:
Act as key resource to support market research efforts to include running reports and analyzing data to make recommendations. Resources include Callahan, S&P, CUNA, or other sources that include economic or competitor data, Member surveys, focus groups or other quantitative and qualitative research needed by the organization.
May conduct other surveys of the membership and potential Members, including working with the Credit Union's Digital Experience department to place surveys on the company website, communicating to staff, tracking, and reporting results.
May provide analysis and reports as requested to support ALCO.
Provide support to Credit Union advocacy efforts by providing research, analysis, reports, and communication.
Follow policies and procedures; report changes as needed.
Stay up to date by attending training, reviewing professional publications, monitoring industry statistics, following trends, interfacing with vendors/business partners, networking and maintaining professional relationships to enhance technical knowledge.
Why work for Redwood Credit Union?
29th largest credit union in the U.S. and the largest financial institution based in the North Bay
Awarded a 5-Star Rating based on 6/30/24 financial data by Bauer Financial
Recognized by Newsweek as one of "America's Greatest Midsize Workplaces 2025"
Recognized by Newsweek as one of "America's Best Credit Unions 2024"
Recognized by Forbes as one of "America's Best Small Employers 2023"
Voted Best Places to Work in the North Bay 20 years in a row
World‑class Employee Engagement scores
Rated Superior in Service by more than 90% of Members, surveyed by SF Gate
Industry leading Net Promoter Scores across the U.S.
Minimum Qualification: Knowledge, Skills and Abilities
Advanced knowledge of a data warehouse, MCIF, Customer Relationship Management or similar database systems.
Experience working with large datasets. Ability to query, aggregate, and manipulate data using SQL and/or Python.
Reporting experience through SQL, Tableau, Python preferred.
Analytical aptitude to explain why through data. Able to analyze, describe, and explore Member behavior.
Experience with Python preferred.
Predictive modeling experience a plus.
Knowledge of statistical packages and/or data mining applications.
Knowledge of survey methods, tools, resources, and techniques.
Translate business requirements into technical solutions.
Proficient in computer skills including Word, Excel, PowerPoint, mapping software and MCIF systems or similar database systems.
Excellent organizational skills and ability to prioritize and successfully manage multiple tasks and deadlines simultaneously.
Ability to analyze situations and make recommendations.
Ability to effectively research, analyze and report data. Also has ability to make recommendations based on data findings.
Strong communication skills, including verbal, written and presentation skills.
Ability to establish and maintain effective working relationships with a diverse group of people.
The ideal candidate has a combination of education and experience equivalent to a bachelor's degree in economics, business administration, data analysis, math, statistics or similar, plus a minimum of three years of related experience.
Compensation
Base starting range: $38.00 to $50.00 per hour commensurate with experience.
Our base salary starting range is based on scope and responsibilities of the position, candidate's work experience, education/training, key skills, and internal peer equity. We offer a competitive total rewards package including a wide range of medical, dental, vision, financial, and other benefits.
Redwood Credit Union offers a robust benefits package to our eligible employees including:
Competitive medical, dental, and vision insurance, mental health offerings
Employee performance incentive plan
Salary Advancement- Merit increase based on performance
401(k) program with employer match
Time Off- Competitive PTO accrual plus 11 paid company holidays and your birthday off!
RCU Discounts and Perks:
RCU employees are eligible for a .75% discount off RCU standard collateral auto loans
RCU employees are eligible for a 1% discount on all recreational or boat loan products
2% discount off Visas and LOC Loans through RCU
0% interest loan to support employees with various immigration related expenses such as visa application fees and relocation costs. Loan amount up to $1,000.
0% interest loan to support employees with expenses associated with the naturalization process. Loan amount up to $15,000.
0% interest on garment, fitness, or home office equipment loan of up to $500
100% financing for employee purchased homes!
Physical Requirements:
Ability to stand, bend, stoop, sit, walk, twist, and turn.
Ability to lift up to 15 pounds.
Ability to use a computer keyboard and calculator.
Work environment is indoors; majority of the time is spent sitting at a desk.
*Redwood Credit Union is not offering Visa transfers and/or sponsorships for this position.
Internal Team Members:
If you are a current Team Member, please apply through the internal careers page located in RCUNET.
We are an Equal Opportunity Employer
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$38-50 hourly 3d ago
Remote Workforce Management Analyst II
Humana Inc. 4.8
Urban Honolulu, HI jobs
A leading healthcare company is looking for a Workforce Management Professional to apply analytics and people metrics to strategic workforce decision-making. The role involves assessing staffing needs and ensuring the alignment of organizational strategies. Candidates should have at least 2 years of relevant experience and excel in communication and analytical problem-solving. This position offers a competitive salary and benefits and requires occasional travel for training. A bachelor's degree is preferred.
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$47k-57k yearly est. 1d ago
Claims Management Analyst III
Caresource 4.9
Dayton, OH jobs
The Claims Management Analyst III is responsible for leading eBusiness initiatives and coordination of activities across multiple functional areas.
Essential Functions:
Manage the EDI (Electronic Data Interchange) trading partners and network of clearinghouses to ensure accurate and timely exchange of information
Works closely with Vendor Management to improve and maintain the trading partner agreement with the trading partners. This includes cost reduction and adding services
Develop and maintain a partnership with the trading partner account representatives
Manage trading partner performance, establish and monitor service level agreements, regulatory requirements, and contractual metrics
Provide Subject Matter Expertise (SME) to all departments regarding eBusiness specific EDI transactions
Build, sustain and leverage relationships to constantly allow for continuous improvement of the EDI business process
Responsible for eBusiness EDI requirements that support regulatory, compliance, and business needs And eBusiness EDI regulatory reporting
Provide critical reporting and analysis of functional performance, and make recommendations for enhancements, cost savings initiatives and process improvements
Review and analyze the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions
Participate in the process of estimating initiative budgets as well as developing business cases and tracking the benefits
Understand business strategy, define and lead eBusiness initiatives such as working with IT and others internal departments to automate functions
Understand the process to receive claims, claims rejections and denial processes, claims payment methodologies, adjudication processing, and Encounters to enable synergies among It and business groups
Contribute to and/or develop user stories or provide user story guidance for sprint planning
Develop, document and perform testing and validation as needed
Develop and maintain an in-depth knowledge of the company's business and regulatory environments
Identify issues, risks, and mitigation opportunities
Perform any other job duties as requested
Education and Experience:
Bachelor's degree or equivalent years of relevant work experience is required
Minimum of five (5) years of health care operations experience in insurance, managed care, or related industry is required
Competencies, Knowledge and Skills:
Advanced knowledge of healthcare EDI files (837, 277CA, 999, 270/271, 276/277, etc.)
Advanced computer skills
Demonstrated exceptional communication (verbal and written) and high level of professionalism
Data analysis and trending skills to include query writing Knowledge of Claims IT processes and systems
Working knowledge of managed care and health claims processing
Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
Demonstrates excellent analysis, collaboration skills, facilitation and presentation skills
Strong interpersonal, leadership and relationship building skills
Decision making and problem solving skills
Ability to work independently and within a team environment
Time management skills; capable of multi-tasking and prioritizing work
Attention to detail
Effective decision making / problem solving skills
Critical thinking and listening skills
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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$72.2k-115.5k yearly 2d ago
Analyst
General Medicine Inc. 3.7
San Francisco, CA jobs
About General Medicine
As an Analyst at General Medicine, you'll help build and scale a healthcare store that makes it delightfully simple for people to take care of their health. We provide upfront cash and insurance prices for virtual and in-person visits, prescriptions, labs, imaging, and more.
You'll work directly with senior leadership to analyze data across operations, growth, and finance. From building models to creating dashboards, your work will shape how the entire company understands performance and opportunity.
What we're looking for
We're looking for someone early in their career-hungry, curious, and ready to dig into messy data sets to find clarity. The exact scope of the role will be broad and you'll thrive if you like to learn by doing and enjoy asking and answering questions others haven't thought of yet.
Our ideal candidate is analytical, detail-oriented, and excited to drive actionable insights through data. You'll not only run analyses but also explain what they mean, what decisions they inform, and what questions they raise next.
You should be excited to:
Figure out how to quickly and efficiently answer business questions through SQL
Inform leadership about key metrics by building well-designed dashboards
Construct financial and operational analyses in Excel
Translate numbers into clear, simple takeaways for leadership.
Proactively surface trends, risks, and opportunities.
Collaborate with leaders across functions in a hands‑on way.
We don't expect you to have a healthcare background (though it's great if you do!). What matters most is that you're curious, adaptable, and eager to grow.
Ideal Qualifications
2+ years of experience in an analytical role (finance, consulting, research etc)
Undergraduate degree with a strong math focus (econ, applied math, math, eng, CS)
Fluency with SQL and Excel; ideally some experience with programming
Clear communicator who can draw insights from data and translate to actions.
Startup‑ready mindset: flexible, resourceful, and comfortable with ambiguity.
Please note that this role is based in our SF office (near Market and Spear St). We expect our team to work from the office least 3 days per week.
Why join us
We're an experienced team that has built a company in this space before and we have an ambitious and distinctive vision for what can be built in consumer healthcare. We believe LLMs and price transparency legislation have opened up several massive opportunities.
You'll be our first analyst so your work will have immediate, company‑wide impact. This role will work directly with senior leadership and have the opportunity to influence real decision‑making in a mission‑driven, fast‑paced environment.
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$71k-93k yearly est. 4d ago
Strategic Market Analytics Analyst II
Redwood Credit Union 3.4
Napa, CA jobs
A leading financial institution in California is seeking a Market Analytics Analyst II to analyze data and member demographics to support product development and strategic initiatives. This role involves conducting market research, developing segmentation strategies, and providing actionable insights for decision-making. The ideal candidate has experience in data analysis, proficiency in SQL and Python, and strong communication skills. Competitive compensation and benefits are offered.
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$43k-66k yearly est. 3d ago
EPIC LEARNING ANALYST-AMBULATORY/ACUTE
Ochin 4.0
Portland, OR jobs
MAKE A DIFFERENCE AT OCHIN
OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities.
We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.
At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.
Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.
Position Overview:
The Learning Specialist supports OCHIN members by leading the implementation, optimization, and ongoing engagement of Quality Reporting, Healthy Planet tools, and related Epic workflows. This role partners closely with Account Managers, internal teams, and members to drive adoption, ensure effective utilization, and provide subject matter expertise in system design and reporting strategies. The Learning Specialist is responsible for developing and delivering comprehensive learning programs, including workflow documentation, training sessions, and workshops, to meet clinical, operational, and reporting needs across a variety of specialties. In addition, this role monitors the effectiveness of training and system usage through performance analyses and member feedback, promoting a culture of continuous improvement, operational excellence, and regulatory readiness. The Learning Specialist serves as a critical liaison between OCHIN and its members, ensuring alignment with organizational priorities and best practices.
Essential Functions:
Drive Member Engagement and Program Success: Lead and manage engagement strategies to promote the adoption and effective use of Healthy Planet and Quality Reporting tools among members. Serve as a key liaison to members, account managers, and internal teams, ensuring proactive communication, issue resolution, and relationship management in support of Population Health and regulatory initiatives.
Deliver Training and Workflow Optimization: Design, deliver, and evaluate interactive training programs across multiple Epic modules and operational workflows. Facilitate workflow validation, discovery, and gap analysis sessions to align member practices with best practices, while providing tailored one-on-one or group coaching, both virtually and onsite.
Develop and Maintain Educational Resources: Create and maintain a variety of learning and program support materials, including step-by-step user guides, lesson plans, scenario-based learning experiences, instructional videos, and workflow documentation. Ensure materials are updated, engaging, inclusive, and accessible to support adult learning principles and member success.
Lead Change Management and Continuous Improvement: Support members through operational changes and organizational transformation using structured change management principles. Partner with cross-functional teams to analyze workflows, recommend process improvements, facilitate optimization projects, and lead initiatives aimed at enhancing operational outcomes, system usage, and regulatory compliance.
Promote Program Innovation and Professional Development: Contribute to the ongoing growth and improvement of Population Health, Installation, and Learning programs by researching best practices, proposing enhancements, and mentoring team members. Actively pursue professional development opportunities and model adaptive leadership, collaboration, and a culture of learning and service excellence
Other duties as assigned.
Requirements
Experience with Ambulatory & Acute is required.
Experience working in clinical or hospital settings, with a strong preference for familiarity with Electronic Health Records (EHR) systems such as Epic and NextGen.
Experience delivering adult education and virtual learning content is strongly preferred.
Strong understanding of change management principles, with the ability to guide teams through transitions effectively.
Demonstrated project management skills, including the ability to balance competing priorities and drive initiatives to completion.
Proven ability to work both collaboratively and independently, managing tasks and contributing to team success.
Applies expertise in adult learning theories, instructional design, and knowledge management to develop innovative solutions, streamline systems, and support multi-team projects.
Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations/teaching. Occasional decision making and independent judgment or action.
Travel is required to support OCHIN's business requirements for Go-Live installations or training which may require travel by air, vehicle, or train. Travel can be up to 25%
Prior to moving forward to the team interview, all candidates are required to complete a 50-60-minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It's not about passing or failing-it's about understanding fit and setting you up for success.
Work Location and Travel Requirements
OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.
Work from home requirements are:
Ability to work independently and efficiently from a home office environment
High Speed Internet Service
It is a requirement that employees work in a distraction free workplace
Travel required up to 20% nationally for on-site Go Live support based on business requirements for OCHIN
(OR) Travel may be required nationally based on business requirements for OCHIN
We offer a comprehensive range of benefits. See our website for details: career COVID-19 Vaccination Requirement
To keep our colleagues, members, and communities safe, OCHIN requires all employees-including remote employees, contractors, interns, and new hires-to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.
Equal Opportunity Statement
OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.
As an Equal Opportunity and Affirmative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.
Base Pay Overview
OCHIN uses broadened pay ranges to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.
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Salary Description
$74,519 -$149,039
$74.5k-149k yearly 5d ago
EpicCare Ambulatory Analyst
Medisys Health Network 3.7
Hicksville, NY jobs
This position is a full-time/salaried on-site opportunity based in Hicksville, Long Island.
The EPIC System Analyst is responsible for design, build, testing, validation, and ongoing support of EpicCare Ambulatory applications. Perform basic analysis of the daily use and administration of assigned IT system(s). Work closely with Operational counterparts to ensure delivery of expected outcomes. Provide expert and creative solutions to end-user requirements and problems. Test and troubleshoot existing and proposed assigned system(s). Generate reports as requested, including writing specifications for custom reports. Provide support and troubleshooting to end users. Document end-user issues and recommend steps to prevent recurrences. Work collaboratively with other EPIC applications and the Training Team to provide positive outcomes for our end users.
Education:
• Bachelor's degree preferred, or equivalent experience.
Experience:
§ Requires at least 1+ years of related experience:
Ambulatory proficiency/certification required
MyChart experience a +
Ambulatory orders/order transmittal build knowledge a +
Knowledge and Skills:
• Possess clinical application knowledge and experience
• Positive attitude, detail oriented, self-motivated, critical thinker
• Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base
• Basic presentation skills
• Ability to interact and develop relationships with intra-departmental teams
• Effectively communicate in both oral and written form to a widely diverse audience
• Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies
• Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
• Ability to complete work assignments in a timely manner as assigned by supervisor with minimal oversight
• Excellent customer service skills
• Ability to multi-task effectively in a rapidly changing environment
$62k-94k yearly est. 1d ago
Sales Support
Alliant Group 4.4
Houston, TX jobs
As a Business Development Associate, you will play a vital role in achieving our ambitious customer acquisition and revenue growth objectives. This role requires a confident and proactive approach to high-volume calling, collaboration with channel partners, generating interest, qualifying prospects, and closing sales.
As a national premier consulting firm, alliant is focused on providing solutions to help businesses transform and thrive. alliant offers six different service lines to our clients and this role is within alliant Consulting, which partners with companies to understand their challenges and guide them through their transformation journey.
Responsibilities:
* Daily research and lead generation to target and qualify potential clients
* Engage with prospects to understand their business and future needs to position our solutions effectively
* Research accounts, identify key players, and generate interest
* Collaborate with channel partners to build pipeline and close deals
* Develop comprehensive Statements of Work, strategic account plans, and sales materials through effective partnership with decision-makers and team members
* Strategically prioritize outreach and opportunities based on revenue potential and alignment with company goals
* Accurately record and update customer interactions in the company CRM to track progress and maintain a healthy sales funnel
* Meet and exceed quarterly quotas
Qualifications:
* Bachelor's degree strongly preferred
* Have the ability to learn various industries and verticals
* Proven track record of successfully closing deals and achieving or exceeding sales targets in a highly competitive market
* Excellent written, verbal, and presentation skills in a variety of consultative settings, including demonstrated experience with C-level executives or business owners
* Ability to effectively manage multiple tasks in a fast-paced high-performance environment
* Thrive in a competitive, entrepreneurial environment with a 24/7 mentality
* High sense of urgency with the ability to meet deadlines and changing priorities
* Receptiveness to performance feedback within a team environment is essential
* Proficiency with Microsoft Office Suite and other relevant software applications
* Available to travel 30-60% within the United States
* Candidate must reside or relocate to Houston, TX
alliant offers a comprehensive compensation and benefits package including 100% employer paid medical/dental premiums for single coverage, 401(k) matching, PTO, company provided life insurance and disability, onsite gym and group fitness classes, paid covered parking, daily allowance for onsite café and Starbucks, and more!
Do Work That Matters. alliant
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$49k-62k yearly est. 1d ago
Senior Payer Analyst
Trilliant Health 4.5
Brentwood, TN jobs
The Senior Payer Analyst supports Trilliant Health's payer clients as well as clients leveraging health plan price transparency and reimbursement analytics. This role will work with internal teams to provide the necessary support and ensure the best performance and execution of all client-related initiatives with an emphasis on Trilliant Health's Payer Analytics Solution. An understanding of the healthcare arena is vital for this role.
Primary Duties & Responsibilities:
Serve as the day-to-day, tactical project manager for internal initiatives, client implementation, and monthly refresh cycle.
Provide coordination, monitoring, and communication of projects and programs managed by the Strategic Resource Group.
Assist with the development of standard reporting templates from the Trilliant Health analytics platform.
Demonstrate an understanding of healthcare claims and the claims submission process.
Demonstrate an understanding of the payer - provider relationship.
Experience with payer contracting and/or payer finance.
Providing insights into Payer KPIs and key metrics.
Interface with multidisciplinary teams throughout the organization to further the positive impact our products have for our customers.
Schedule departmental meetings; assist in the preparation and distribution of meeting agendas and materials.
Complete a variety of special projects including creating PowerPoint presentations, financial spreadsheets, special reports, and agenda material.
Requirements:
Bachelor's degree in Business, Healthcare Administration, Finance or equivalent in experience
Experience and understanding of the business side of healthcare
Experience with payer contracting and/or payer finance
Proven working experience as a data analyst or business data analyst
Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
High level of computer knowledge: PowerPoint, Outlook, Excel, Word, and the aptitude to quickly learn new programs
Ideally Tableau, Databricks, Azure and coding experience
Trilliant Health Benefits:
Comprehensive health benefits package
401(K)
Flexible PTO
Equity
*We are unable to provide visa sponsorships for this role.
About Trilliant Health:
Trilliant Health is a high-growth, healthcare technology company. We are on a mission to be the most trusted advisor, dependable partner and provider of analytic insights to key stakeholders in the health economy enabling them to maximize return on invested capital. We do that by providing education and expertise through thought leadership, evidence-based strategy, and predictive analytics. We are looking to grow our team as we strive to influence positive change in healthcare by disrupting the status quo and promoting improved decision-making.
$69k-96k yearly est. 22h ago
Sr Analyst, Serialization
Fresenius Kabi USA, LLC 4.7
Chicago, IL jobs
Job SummaryThe Senior Serialization Analyst is a key role within Supply Chain that will be responsible for monitoring and maintaining internal and external metrics associated with serialization compliance. They perform data-driven analysis and use that information to identify trends and proactively communicate to both internal and external stakeholders about any changes uncovered.
* Salary Range: $85,000-$100,000
Position is eligible to participate in a bonus plan with a target of 6% of the base salary (include only if applicable to the grade level)
* Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities.
* Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most. Benefits offered include a 401(k) plan with company contributions, paid vacation, holiday and personal days, employee assistance program, and health benefits to include medical, prescription drug, dental and vision coverage.
Applicants must be authorized to work for ANY employer in the United States. Fresenius Kabi is unable to sponsor or take over sponsorship of an employment visa either now or in the future.Responsibilities
The Senior Serialization Analyst will monitor and maintain internal compliance metrics associated with serialization
Manage and maintain exceptions management mailbox
Perform data driven analysis on both internal and external exceptions associated with serialization
Identify trends in exceptions, and proactively communicate any change in the trends as needed
Perform detailed technical investigations related to serialization in both internal and external systems
Provide process and technical support as a part of suspect and illegitimate product investigations
Serve as primary communicator with external customers on serialization exceptions
Support functional and validation testing of serialization systems
Monitor current regulations and industry trends related to serialization
Identify and coordinate any serialization process improvements cross functionally between IT,
manufacturing, distribution centers, and external customers.
Manage system enhancement projects related to serialization
Onboard new customers to GS1 Electronic Product Code Information Services (EPCIS) and coordinate any required testing with customers and internal stakeholders
All employees are responsible for ensuring the compliance to company documents, programs and activities related
to the Health, Safety, Environment, Energy, and Quality Management Systems, as per your roles and responsibilities
Requirements
Bachelor's degree in a relevant field such as pharmaceutical sciences, engineering, or supply chain management is required.
Minimum of 5 years of experience within Supply Chain industry.
Advanced skills in interpreting complex datasets, identifying trends, and making data-driven decisions to optimize processes and solve problems.
SAP serialization OER or ATTP preferred
Strong communication and interpersonal skills, with the ability to collaborate with stakeholders at all levels of the organization.
Experience in pharmaceutical distribution or related industries, with a strong understanding of serialization requirements and processes
Project management skills, with the ability to prioritize tasks, manage timelines, and lead cross-functional teams effectively
Knowledge of Microsoft Office Suite including Project.
Additional Information
We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability,401K with company contribution, andwellness program.
Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
$85k-100k yearly 4d ago
Sr Analyst, Serialization
Fresenius Kabi USA, LLC 4.7
Pleasant Prairie, WI jobs
Job SummaryThe Senior Serialization Analyst is a key role within Supply Chain that will be responsible for monitoring and maintaining internal and external metrics associated with serialization compliance. They perform data-driven analysis and use that information to identify trends and proactively communicate to both internal and external stakeholders about any changes uncovered.
* Salary Range: $85,000-$100,000
Position is eligible to participate in a bonus plan with a target of 6% of the base salary (include only if applicable to the grade level)
* Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities.
* Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most. Benefits offered include a 401(k) plan with company contributions, paid vacation, holiday and personal days, employee assistance program, and health benefits to include medical, prescription drug, dental and vision coverage.
Applicants must be authorized to work for ANY employer in the United States. Fresenius Kabi is unable to sponsor or take over sponsorship of an employment visa either now or in the future.Responsibilities
The Senior Serialization Analyst will monitor and maintain internal compliance metrics associated with serialization
Manage and maintain exceptions management mailbox
Perform data driven analysis on both internal and external exceptions associated with serialization
Identify trends in exceptions, and proactively communicate any change in the trends as needed
Perform detailed technical investigations related to serialization in both internal and external systems
Provide process and technical support as a part of suspect and illegitimate product investigations
Serve as primary communicator with external customers on serialization exceptions
Support functional and validation testing of serialization systems
Monitor current regulations and industry trends related to serialization
Identify and coordinate any serialization process improvements cross functionally between IT,
manufacturing, distribution centers, and external customers.
Manage system enhancement projects related to serialization
Onboard new customers to GS1 Electronic Product Code Information Services (EPCIS) and coordinate any required testing with customers and internal stakeholders
All employees are responsible for ensuring the compliance to company documents, programs and activities related
to the Health, Safety, Environment, Energy, and Quality Management Systems, as per your roles and responsibilities
Requirements
Bachelor's degree in a relevant field such as pharmaceutical sciences, engineering, or supply chain management is required.
Minimum of 5 years of experience within Supply Chain industry.
Advanced skills in interpreting complex datasets, identifying trends, and making data-driven decisions to optimize processes and solve problems.
SAP serialization OER or ATTP preferred
Strong communication and interpersonal skills, with the ability to collaborate with stakeholders at all levels of the organization.
Experience in pharmaceutical distribution or related industries, with a strong understanding of serialization requirements and processes
Project management skills, with the ability to prioritize tasks, manage timelines, and lead cross-functional teams effectively
Knowledge of Microsoft Office Suite including Project.
Additional Information
We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability,401K with company contribution, andwellness program.
Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
$85k-100k yearly 3d ago
Contract Marketing Analyst
Fresenius Kabi USA, LLC 4.7
Lake Zurich, IL jobs
Job SummaryThe Contract Marketing Analyst is responsible for extracting, analyzing, and interpreting data from an array of systems to review contract compliance and performance. The Contract Analyst also prepares and summarizes commercial and customer analysis to identify key trends and communicates business drivers, market dynamics, competitive landscapes, and product/therapy opportunities to contract operations, marketing and sales teams.
This is a hybrid position, and the selected candidate will be required to work onsite in the Lake Zurich, Illinois office 3 days a week.
Salary Range: $62,000 - $78,000 per year
Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most.Responsibilities
Assist with set up of new contracts and changes in Model N.
Onboard new customers.
i. Customer account setup
ii. ACH setup
Contract setup forms as a result of newly executed agreements and amendments.
Drafts new and amended pricing and rebate program forms to be loaded into Model N.
Provides support for contracts including updating and maintaining the contract files.
Assist Manager, Contract Operations with providing internal and external auditors with contract documentation and information as requested and required.
Files all contract documents according to department and company SOPs. Supports the preparation of contract files for Records Retention.
Assist Manager, Contract Operations with IDN agreement membership preparation (COT, DEA, HIN information, etc.).
Assist Manager, Contract Operations with Pre-deal contract offer GTN analysis (go/no go).
Assist Manager, Contract Operations with Post-deal contract performance analysis.
Monitor quarterly/semesterly contract performance requirements.
Meet monthly/quarterly with key account managers to assess performance.
Assist Manager, Contract Operations in collaborating with contract admin on analytics and reconciliations for any deductions related to assigned accounts, resulting in credit or recovery of payback.
Assist with resolving customer ad hoc contract setup/ordering issues.
Strive to minimize issues by demonstrating a strong attention to detail and accurate performance of responsibilities.
Collaborate with various internal Fresenius Kabi customers, including customer service, contract administration, BioPharma marketing, national accounts, regional business directors and key account managers.
Requirements
Bachelors degree required, preferably in Business or Finance
3-5 years related work experience in customer contracting analytics required. Pharmaceutical, life sciences, medical device or biotech industry highly desired.
Knowledge of GPOs, PBMs, Payers, IDNs, and Wholesaler experience highly preferred.
Ability to interface effectively with all groups and teams and within all levels of the organization.
Excellent oral and written communication skills.
Skills in MS Word, Excel, PowerPoint, Business Intelligence platforms, analytics, and organization.
Knowledge and comfort level of operating systems, for instance SAP, Model N, Contract Life Cycle Management Systems, Qlik preferred.
Additional Information
We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability,401K with company contribution, andwellness program.
Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.