Director, Provider Network & Analytics

• 10+ years of progressive experience in healthcare analytics, provider network management, healthcare contracting, reimbursement analysis, or related healthcare business functions
• Experience driving strategic initiatives, leading cross-functional teams, and engaging executive stakeholders.
• Demonstrated advanced analytical and problem-solving capabilities in evaluating healthcare coding, pricing, reimbursement, and claims data to support strategic business decisions.
• Expert-level proficiency in Microsoft Excel, including financial modeling, data manipulation, and advanced analytical techniques.
• Strong working knowledge of healthcare claims data, reimbursement analysis, and CPT/HCPCS coding, including the application of coding methodologies to healthcare analytics, reimbursement optimization, pricing strategies, and provider contracting.
• Exceptional communication and presentation skills, with the ability to effectively influence senior leaders and executive stakeholders through clear, concise, and data-driven insights.
• Exceptional written and verbal communication skills, with experience producing executivelevel materials and presentations.
• Proven ability to synthesize and translate complex technical and analytical information into strategic, actionable recommendations for executive leadership and key stakeholders.
• Demonstrated success leading large-scale analytics initiatives and influencing senior leaders and executive stakeholders to achieve organizational objectives.
• Experience supporting healthcare contracting initiatives, particularly involving clinical laboratories, health plans, provider networks, and value-based care arrangements.
• Strong understanding of healthcare reimbursement methodologies, payer dynamics, contract structures, and performance analytics.
• Demonstrated experience supporting enterprise-wide, cross-functional healthcare analytics programs involving multiple stakeholders and business units.

Originally posted on Himalayas