Provider Analytics Consultant at Claritev

Job Description

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Claritev is at the forefront of transforming healthcare by leveraging data-driven insights to significantly bend the cost curve and improve patient outcomes. We are a passionate and collaborative team of innovators dedicated to solving complex challenges within the healthcare industry. If you are driven by impact and possess a keen analytical mind, join us in shaping a more sustainable and effective healthcare future.

Job Overview

Claritev is seeking a highly motivated and skilled Provider Analytics Consultant to join our growing team. In this pivotal role, you will be instrumental in empowering our healthcare provider clients with actionable insights derived from complex data sets. You will work closely with clients to understand their unique needs, translate them into analytical strategies, and deliver recommendations that drive operational efficiency, cost savings, and quality improvements. This remote position offers the opportunity to make a tangible difference in the healthcare landscape.

Key Responsibilities

* Conduct in-depth analysis of healthcare provider data, including claims, utilization, and quality metrics, to identify trends, patterns, and opportunities for improvement.
* Develop and implement analytical models and methodologies to forecast costs, assess provider performance, and identify areas of financial risk or opportunity.
* Collaborate with healthcare provider stakeholders (e.g., administrators, physicians, finance teams) to understand their business objectives and data challenges.
* Translate complex analytical findings into clear, concise, and compelling presentations and reports for both technical and non-technical audiences.
* Provide strategic recommendations to clients on how to optimize their operations, reduce costs, improve quality of care, and enhance patient satisfaction based on analytical insights.
* Design and develop dashboards and visualizations to track key performance indicators (KPIs) and monitor the impact of implemented strategies.
* Stay abreast of industry best practices, emerging analytical techniques, and relevant healthcare policy changes to ensure the continued relevance and effectiveness of our solutions.
* Contribute to the development and refinement of Claritev’s analytical tools, methodologies, and best practices.

Requirements

* Bachelor’s or Master’s degree in a quantitative field such as Data Science, Statistics, Economics, Health Services Research, Public Health, or a related discipline.
* Minimum of 3 years of experience in healthcare analytics, with a strong focus on provider-side data analysis (e.g., hospital systems, physician groups, health plans).
* Proficiency in data manipulation and analysis tools such as SQL, Python, R, or similar programming languages.
* Experience with data visualization tools like Tableau, Power BI, or Looker.
* Demonstrated understanding of healthcare data sources, including CPT, ICD, DRG codes, and common claims data structures.
* Excellent problem-solving skills and the ability to approach complex analytical challenges with creativity and rigor.
* Strong communication and presentation skills, with the ability to effectively convey technical information to diverse audiences.

What We Offer

* The opportunity to work remotely, offering flexibility and a healthy work-life balance.
* A dynamic and innovative work environment where your contributions directly impact the healthcare industry.
* Competitive compensation and comprehensive benefits package designed to support your well-being.
* Opportunities for professional development and continuous learning within a rapidly evolving field.
* A collaborative and supportive team culture that values diversity of thought and expertise.