Job Closed

This listing is no longer active.

Senior Provider Contract Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

65 days ago

Salary

$98.2K - $163.6K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishSQL

Job Description

Senior Provider Contract Analyst

The Cigna Group

• Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends. • Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace. • Provide analytical and strategic support of health care provider rate negotiations. • Identify opportunities for medical cost reduction, develop action plans, and drive execution. • Assess the cost and quality efficiency of health care providers. • Collaborate with local network team to develop and maintain high performing network solutions. • Assess competitiveness of standard and high performing network products. • Analyze reports and present findings to business partners at various levels of the organization. • Support business partners and team members on an ad hoc basis as needed to support various integral business needs. • Maintain strong communication with other analysts to identify new opportunities and share best practices. • Mentor/train business partners and other analysts.

Job Requirements

  • Bachelor's degree in Statistics, Mathematics, Economics, Health Policy Analysis, Finance, or other related field of study
  • Master's degree preferred
  • 5+ years of experience with health care data analysis required
  • Experience with medical cost trend analysis and health care provider contract analysis preferred
  • Strong analytical and problem solving skills with a proven track record of success
  • Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines
  • Strong ability to validate and interpret results
  • Ability to influence and drive strategic planning, action plan development, and execution of plans through engagement of business partners, education on key drivers and actionable levers, and thorough understanding of market-level dynamics
  • Strong communication skills to include written, oral, and group presentation
  • Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management
  • Technical sophistication with various data mining and business intelligence tools such as SAS, SQL, Microsoft Access, or similar products, advanced Microsoft Excel skills
  • Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • A minimum of 18 days of paid time off per year
  • Paid holidays

Related Categories

Related Job Pages

More Analyst Jobs

NTT Global Data Centers logo

Workday Techno-Functional Analyst

NTT Global Data Centers

As the third largest data center provider, we operate over 150 data centers in more than 20 countries and regions. We understand that every business – large and small – has its own unique needs and goals. We offer local-to-global data center expertise, aligned with our connected platform of AI-ready data centers to create solutions that enable our clients to seamlessly scale their digital businesses, anywhere and anytime. NTT Global Data Centers is proud to be an Equal Opportunity Employer with a global culture that embraces diversity. We are committed to providing an environment free of unfair discrimination and harassment.

Analyst65 days ago
Full TimeRemoteTeam 501-1,000H1B No Sponsor

• Serve as a Workday technical and functional expert, ensuring platform stability and adherence to best practices • Lead the configuration, design, and implementation of complex Workday initiatives to drive scalability, performance, and operational efficiency • Perform core administrative tasks, including security maintenance, business process configuration, tenant setup, and support for HCM and Compensation modules • Design, build, test, and support integrations using Workday Studio, Core Connectors, EIB, RaaS, REST/SOAP APIs, XML/XSLT, and Document Transformation (DT) • Establish comprehensive monitoring, alerting, and error‑handling frameworks to ensure integration reliability • Develop advanced reports using Report Writer, Calculated Fields, BIRT/Report Designer, and maintain dashboards and analytics • Manage Workday feature release cycles, including impact analysis, testing, and adoption planning • Identify opportunities to automate processes and improve end‑to‑end employee lifecycle workflows • Partner with HR, Payroll, Finance, and IT to deliver scalable, compliant, and high‑quality Workday solutions • Ensure Workday security, data privacy, and compliance standards are upheld across all operations • Oversee test planning, execution, and defect tracking to support quality assurance • Maintain detailed documentation of configurations, processes, integrations, and user enablement materials • Mentor team members and lead knowledge‑sharing initiatives to elevate Workday expertise within HRIS

California
$116.4K - $155K / year
Job Closed
SWORD Health logo

QA Analyst, Thrive

SWORD Health

SWORD Health is a virtual musculoskeletal care provider that is on a mission to free 2 million people from post-surgical and chronic pain. The company’s platf

Analyst65 days ago

At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need—and ultimately get back to lives lived in full. Since 2020, Sword has expanded across physical therapy, women’s health, cardiometabolic, and mental health, and is now moving beyond the session to a fully AI-native, 24/7 care program that brings physical activity, therapeutic exercise, psychotherapy, nutrition, and behavior change into one connected experience. More than 700,000 members across three continents have completed over 10 million AI sessions, helping 1,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies, 44+ patents, and more than $500 million raised from leading investors including Khosla Ventures, General Catalyst, and Founders Fund, Sword is defining a new standard for healthcare. Role As a QA Analyst on the Thrive In-Session team, you won’t just validate what’s built, you’ll help define what “good” looks like. You will work closely within a cross-functional team and collaborate across departments to ensure we deliver a seamless, safe, and effective AI care experience. In this role, you will help drive a shift-left quality mindset, contributing to prevention over detection, improving processes, and ensuring we generate the right evidence to support our product as Software as a Medical Device. The Thrive In-Session team owns the end-to-end therapy session. This experience blends AI, clinical logic, and user interaction in a way that requires both analytical thinking and creativity. Ensuring quality here means understanding not just whether something works, but whether it works well for real people in real recovery journeys. If Tech role: To get to know more about our Tech Stack, check here. AI Proficiency at Sword Health AI fluency is a core expectation at Sword Health. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work. - Explorer (Level 1) — Uses AI daily to boost personal productivity - Builder (Level 2) — Creates workflows and tools that elevate the whole team - Integrator (Level 3) — Embeds AI into products and processes at scale Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role. What you’ll be doing - Work closely within a cross-functional team (Mobile, Backend, AI, Algorithms, Design, Data, Product) and collaborate across teams when needed - Get involved early — contribute to design and development discussions to help prevent issues before they reach testing - Design, execute, and maintain test plans and test cases - Build and maintain QA processes and procedures that the whole team can benefit from - Identify, document, and track defects through to resolution - Maintain thorough testing documentation - Invest in test automation over time What you need to have - 2–3 years of experience as a QA Analyst - Experience testing mobile apps - Experience with test automation - Experience in test case design, creation, execution, and reporting - Familiarity with tools like Postman, Jira, Git, Xray, Android Studio - Good analytical, communication, and teamwork skills - A critical mindset and attention to detail - Autonomy and initiative - Strong written and verbal communication skills in English €22,050 - €34,650 a year *This range includes base, variable and equity These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact. Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below. Portugal - Sword Benefits & Perks: • Health, dental and vision insurance • Meal allowance • Equity shares • Remote work allowance • Flexible working hours • Work from home • Discretionary vacation • Snacks and beverages Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal. Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

Brazil
€22.1K - €34.7K / year
Full TimeRemoteTeam 201-500

Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities. The Information Technology (IT) Data analyst is responsible for database administration, data consolidation, data analysis and management reporting. Utilizes software to generate metrics and develops actionable recommendations. Provides support to management by collecting and analyzing data and reporting results based on the needs of end users. - $33 an hour - Fully remote in only these states: - Massachusetts (MA) - Florida (FL) - Ohio (OH) - Pennsylvania (PA) - Core hours: - Monday - Friday - 8:30am to 4:30pm - Possible after hours depending on need Essential Functions - Reviews, evaluates, designs and implements databases - Runs periodic testing to ensure correct operation of the system - Responsible for database recovery and back up - Creates custom reports as requested by management - Checks quality and ensure issues are handled properly to maintain data integrity Competencies - High degree of detail focus and organization, strong productivity, and successful completion of deliverables - Strong written and verbal communication and organization skills are required - Professional demeanor and ability to work as a team player - Reliable and ability to maintain confidentiality - Advanced computer skills Preferred Experience - Experience with Server management - Experience with MYSQL, SQL, and Access Databases - SQL Server with Linux would be a plus - LaserFiche workflow design - Programming experience is a must - Experience with technically complex information - In-depth knowledge of computer systems Required Education - A Bachelor's degree in Information Technology (IT), computer science, software engineering, or a related field is required. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and/or hear. The employee is frequently required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Travel No travel is required for this position. Other Duties Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits Tempus Unlimited offers great benefits that foster a happy fulfilling human work experience. We also have an array of growth opportunities for our employees to develop your career and enhance your experience. - Sign on bonus - Work/Life Balance - Paid time off - 25 days per year for full time staff - 14 paid Holidays - Tempus Wellness - Medical, Dental, Dependent Care Reimbursement, FSA and HSA - Basic Life, Short Term and Long-Term Disability - On-site gym (Stoughton Location) and wellness initiatives - Annual Reviews with merit-based increases - Employee Recognition Program - Financial Wellness - 403(b) Retirement Plan with matching - Continuing Education, Training and Advancement opportunities Work Authorization/Security Clearance All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts. EEO Statement Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

United States
$33 / hour
Job Closed

Sr Technical Analyst, Kronos/ UKG

CommonSpirit Health

CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga

Analyst65 days ago

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities The Senior Technical Analyst provides application technology expertise and direction in the application support/development/implementation of highly complex enterprise wide cross functional programs or projects. May lead to resolution of highly complex problems. The Senior Technical Analyst may occasionally work on projects, engaged in enterprise wide projects as a team member or as a team leader. Acts as subject matter expert for multiple areas. Leads a cross functional team to troubleshoot highly complex hardware, software and system problems. Essential Functions: - Responsible for delivering or leading the design, development, support, maintenance deployment of functional applications as well as information support processes. - Responsible for taking on-call shifts on a regular basis. - Lead resolution of highly complex issues or requests that need a technical expert for specific solution sets. Typically involved in problem management activities which includes performing diagnosis, troubleshooting and critical thinking to solve or fulfill needs of medium and high complexity; utilizing knowledge management and escalating issues when necessary. - Follows appropriate change control process at all times - Responsible for completing tasks and associated documentation within committed timeframes, and effectively communicating across teams and all levels of management. - Lead technical analysis discussions, deliver supporting artifacts and assist with conducting review sessions for all necessary approvals. - Develops, maintains and is a reviewer of knowledge management artifacts and leads transition to operations functions following implementation delivery. - Receives necessary information and training of applications during the implementation of new solutions, upgrades, fixes. - Leads product release management functions which may include developing test plans, perform test plans, facilitate with end user for end user acceptance testing and may develop application validation scripts for ongoing operations team. - Participates in estimating and resource planning for highly complex or enterprise wide solutions. - Provides guidance and training and problem solving assistance to other team members and operational support teams. - Leads efforts on continuous process improvement activities to ultimately improve customer satisfaction experience. - Involved in the development of service level agreements (SLAs). Monitors deviations and escalates issues to leadership - Remote eligible The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned. Job Requirements Required - Bachelors degree or equivalent knowledge and skills obtained through a combination of education, training, and experience in a Healthcare environment. - 10+ years’ experience working in IT as an Application Systems Analyst or Technical Analyst role. - Experience working with project life cycle or project management methodologies. - 6 or more years’ experience with Kronos/ UKG support in a hospital or medical related industry

United States
$41 - $61 / hour