Note: The job is a remote job and is open to candidates in USA. Umpqua Health is a community-driven Coordinated Care Organization dedicated to improving health and well-being in Douglas County, Oregon. The Senior Analyst, Network Strategy, Pricing & Analytics provides advanced financial and data analysis to guide network investment decisions, develop pricing strategies, and evaluate provider contracts to improve health outcomes and reduce costs.
Responsibilities
- Conduct analysis of provider performance, utilization trends, and geographic coverage to identify network gaps, inefficiencies, and opportunities for optimization
- Develop and apply predictive models to assess contract risk, forecast financial 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; identify and resolve data quality issues impacting reporting and analysis
- Support compliance with applicable regulatory requirements through data monitoring, audit support, and required reporting
- Design, develop, and maintain dashboards, reports, and data visualizations to effectively communicate insights to internal stakeholders
- Prepare and deliver recurring provider and hospital performance reports utilizing SQL, 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 strategic objectives
- Identify and support process improvements related to data collection, reporting, and analytics functions
Skills
- Bachelor's degree in business, Finance, Mathematics, Economics, Data Science, Actuarial Science, or a related field
- Minimum of five (5) years of experience in analytics, including financial analysis, healthcare pricing, network management, or healthcare economics
- Advanced proficiency in Microsoft Excel and strong working knowledge of SQL
- Experience working with complex data environments, including database management and performance analytics
- Proficiency in 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
- Master's degree in data science, Statistics, Computer Science, Health Informatics, or a related field
- Experience in healthcare, insurance, or network management analytics
- Advanced expertise in statistical modeling, machine learning, and experimental design
- Extensive familiarity with healthcare data sources, including claims, provider data, and contract information
Benefits
- 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
- Mentorship
- Clear career pathways
- Professional development opportunities
- Flexibility and well-being
Company Overview