Sr. Analyst, Network Strategy, Pricing & Analytics
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Job Location:
Roseburg, OR - USA
Yearly Salary:
USD 100940 - 118605
Posted on:
6 days ago
Vacancies:
1 Vacancy
Job Summary
SR. ANALYST NETWORK STRATEGY PRICING & ANALYTICS
REMOTE must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470
EMPLOYMENT TYPE: Full-Time Exempt
About Umpqua Health
At Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County Oregon. We provide integrated whole-person care through primary care specialty care behavioral health services and care coordination. Our collaborative approach ensures members receive high-quality personalized care while supporting a stronger healthier community.POSITION PURPOSE
The Senior Analyst Network Strategy Pricing & Analytics provides advanced financial and data analysis to guide network investment decisions and ensure access to high-quality cost-effective healthcare services. This role supports Umpqua Healths mission by developing pricing strategies evaluating provider contracts andleveragingvalue-based care models to improve health outcomes and reduce total cost of care. The position requiresexpertisein healthcare economics contract valuation predictive analytics and strategic reporting toidentifyopportunities for cost savings and performance improvement.
ESSENTIAL JOB RESPONSIBILITIES
- Conduct analysis of provider performanceutilizationtrends and geographic coverage toidentifynetwork gaps inefficiencies and opportunities for optimization.
- Develop and apply predictive models to assess contract risk forecastfinancial impact and evaluate provider behavior under varying reimbursement methodologies.
- Interpret contract rates terms and coding structures to assess financial implications and support contract negotiation strategies including chargemaster considerations.
- Ensure the integrity and accuracy of integrated claims provider and contract data;identifyand resolve data quality issuesimpactingreporting and analysis.
- Support compliance with applicable regulatory requirements through data monitoring audit support and required reporting.
- Design develop andmaintaindashboards reports and data visualizations to effectively communicate insights to internal stakeholders.
- Prepare and deliver recurring provider and hospital performance reportsutilizingSQL Excel and other reporting tools.
- Present analytical findings and strategic recommendations to leadership in a clear concise and professional manner.
- Apply statistical and machine learning methodologies to address complex business challenges including fraud detection and provider performance trends.
- Collaborate with cross-functional teams to align data initiatives with organizational priorities and strategicobjectives.
- Identifyand support process improvements related to data collection reporting and analytics functions.
CHALLENGES
- Working with a variety of personalities maintaining a consistent and fair communication style.
- Satisfying the needs of a fast-paced and challenging company.
MINIMUM QUALIFICATIONS
- Bachelors degree in business Finance Mathematics Economics Data Science Actuarial Science ora relatedfield.
- Minimum of five (5) years of experience in analytics including financial analysis healthcare pricing network management or healthcare economics.
- Advancedproficiencyin Microsoft Excel and strong working knowledge of SQL.
- Experience working with complex data environments including database management and performance analytics.
- Proficiencyin at least one programming or analytics language (e.g. Python or R) and experience with data visualization tools (e.g. Tableau or Power BI).
- Working knowledge of statistical modeling and analytical methodologies.
- Strong written and verbal communication skills including the ability to present technical information to non-technical audiences.
- Demonstrated ability to work independently and collaboratively in a cross-functional environment.
PREFERRED QUALIFICATIONS
- Masters degree in data science Statistics Computer Science Health Informatics or a related field.
- Experience in healthcare insurance or network management analytics.
- Advancedexpertisein statistical modeling machine learning and experimental design.
- Extensive familiarity with healthcare data sources including claims provider data and contract information.
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band 21: $100940- $118605
BENEFITS
- Salary is dependent on skills experience and education
- Generous benefits package including vacation PTO sick leave federal holidays and birthday leave
- Medical dental and vision insurance
- 401(k) with company match (fully vested immediately)
- Company-sponsored life insurance and additional benefits
- Fitness reimbursement program
- Tuition reimbursement and more
Why Umpqua Health
We are committed to advancing health equity by collaborating across communities addressing systemic barriers and ensuring fair access to care and resources. At Umpqua Health every team member plays a vital role in making a meaningful impact empowering healthier lives and strengthening the communities we serve.Inclusive Culture
We foster a respectful inclusive environment where employees feel valued supported and empowered.
Growth & Development
We support ongoing learning through mentorship clear career pathways and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Required Experience:
Senior IC
About Company
UMPQUA HEALTH Quality, Local Care for Douglas County Member Services As a member of Umpqua Health, you have access to many different benefits and programs. Whether you’re a new member, or you’ve been with us for years, we’re here to help! Provider Services We’re here to help you deliv ... View more
