Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
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  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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Elevance Health Provider Cost of Care Consultant in ST LOUIS, Missouri

Provider Cost of Care Consultant

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

Preferred Location: Columbia, MO.

The Provider Cost of Care Consultant is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations.

How you will make an impact:

  • Provides 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.

  • Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues.

  • Works on large scale initiatives with high dollar cost savings opportunities.

  • Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.

  • Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals. Supports a full range of contract arrangements and pricing mechanisms.

  • Works on complex enterprise-wide initiatives and acts as project lead.

  • Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process.

  • Types of analyses include performing sophisticated retrospective data analytics.

  • Building new and modifying existing complex models to create predictive impact decision making tools.

  • Performing healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis.

  • Preparing pre-negotiation analysis to support development of defensible pricing strategies.

  • Performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation.

  • Researching 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.

  • 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.

  • Acts as a source of direction, training and guidance for less experienced staff.

Minimum Requirements:

  • Requires BS/BA degree in Mathematics, Statistics, or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable 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.
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