Cost Analyst jobs in Charleston, WV

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Provider Contract/Cost of Care Analyst Sr.
  • Elevance Health
  • Charleston, WV CONTRACTOR
  • Location: This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 miles of one of Elevance’s Pulse Point locations.

    The Provider Contract/Cost of Care Analyst Sr. is responsible for analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care.

    How You Will Make An Impact

    • Performs varied data analyses
    • Develops moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs
    • Projects cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis
    • Preparing pre-negotiation analyses to support development of defensible pricing strategies Performs modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic
    • Measures and evaluates the cost impact of various negotiation proposals;
    • Researches the financial profitability/stability and competitive environment of providers to determine impact of proposed rates
    • Projects different cost of savings targets based upon various analytics.
    • Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings.
    • Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable.
    • Recommends standardized practices to optimize cost of care.
    • Educates provider contractors on contracting analytics from a financial impact perspective.
    • May recommend alternative contract language and may go on-site to provider premises during contract negotiations.
    • Participates on project team involved with enterprise wide initiatives.

    Minimum Requirements

    Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background.

    Preferred Skills, Capabilities, And Experiences

    • Master’s degree preferred.
    • Proficiency in SQL or SAS preferred
    • Proficiency in Microsoft Excel/Access preferred
    • Ability to work well with others preferred

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $71,920 to $129,456.00.

    Locations: Colorado; District of Columbia (Washington D.C.); New York; Nevada; Maryland; Washington State;

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
  • 18 Days Ago

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Patient Coordinator
  • Cost Dental PLLC
  • Charleston, WV FULL_TIME
  • At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive...
  • 2 Days Ago

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Dental Assistant
  • Cost Dental PLLC
  • Charleston, WV FULL_TIME
  • At Aspen Dental, we put You First, offering the security and job stability that comes with working with a world-class dental service organization (DSO). Our best-in-class training program, competitive...
  • 2 Days Ago

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Cost control specialist
  • Raise
  • Charleston, WV FULL_TIME
  • We’re Hiring! Our key client is hiring and looking to add a Junior Project Controller to their team. Please check the description below and reach out to us for more details if you are interested. Pay ...
  • 1 Month Ago

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Affordable Cost of Living Available Near Charleston, West Virginia
  • Curare Physician Recruiting
  • Charleston, WV FULL_TIME
  • Psychiatry opportunity just 46 miles from Charleston, West Virginia. This group is seeking a Psychiatrist to cover their inpatient care at the hospital and outpatient care at the clinic. Located in be...
  • 1 Month Ago

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Program Analyst
  • Mine Safety and Health Administration
  • Pineville, WV FULL_TIME
  • This position is located in the U.S. Department of Labor, Mine Safety and Health Administration, located in Pineville, WV. This position performs analyses and advisory assignments related to the effec...
  • 4 Days Ago

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0 Cost Analyst jobs found in Charleston, WV area

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Accounting Specialist
  • City of Osawatomie, KS
  • Charleston, WV
  • Salary : $34,500.00 - $57,500.00 Annually Location : Greenbrier, WV Job Type: Full-Time Job Number: BSS25GMPS013-A Depar...
  • 12/13/2024 12:00:00 AM

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Accountant/Auditor 2 - Center for Threat Preparedness - Kanawha Co.
  • State of West Virginia
  • Charleston, WV
  • Nature of Work This is an entry-level position which will be trained on how to perform the following duties. Under admin...
  • 12/12/2024 12:00:00 AM

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Medicaid Biller
  • CommuniCare Corporate
  • Charleston, WV
  • CommuniCare Corporate - WV Medicaid Biller CommuniCare Health Services is currently recruiting a Medicaid Biller for our...
  • 12/12/2024 12:00:00 AM

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REMOTE Regulatory Accounting Consultant Staff
  • American Electric Power Company, Inc.
  • Charleston, WV
  • Job Posting End Date 11-29-2024 Please note the job posting will close on the day before the posting end date. Job Summa...
  • 12/12/2024 12:00:00 AM

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Informaticist -- IS Clinical Informatics -- Northgate-400 Association Dr.
  • Charleston Area Medical Center
  • Charleston, WV
  • Job Summary This position is a support specialist for clinicians. It provides high quality "one-stop" support for provid...
  • 12/11/2024 12:00:00 AM

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Informaticist - IS Clinical Informatics - Northgate-400 Association Dr.
  • CAMC Health System
  • Charleston, WV
  • Job Summary This position is a support specialist for clinicians. It provides high quality "one-stop" support for provid...
  • 12/11/2024 12:00:00 AM

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Quality Assurance Manager-Customer Service
  • Under Armour, Inc.
  • Charleston, WV
  • Quality Assurance Manager-Customer Service **Quality Assurance Manager-Customer Service** **Values & Innovation** At Und...
  • 12/11/2024 12:00:00 AM

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Accounting Technician - WV Public Broadcasting - See Posting
  • State of West Virginia
  • Charleston, WV
  • Nature of Work * This job opportunity is not in the classified service and is not covered under the Administrative Rule ...
  • 12/10/2024 12:00:00 AM

Charleston is the most populous city in, and the capital of, the U.S. state of West Virginia. Located at the confluence of the Elk and Kanawha rivers, the population during the 2017 Census Estimate was 47,929. The Charleston metropolitan area as a whole had 214,406 residents. Charleston is the center of government, commerce, and industry for Kanawha County, of which it is the county seat. Early industries important to Charleston included salt and the first natural gas well. Later, coal became central to economic prosperity in the city and the surrounding area. Today, trade, utilities, governm...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Cost Analyst jobs
$54,619 to $69,270
Charleston, West Virginia area prices
were up 1.2% from a year ago

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