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Provider Data Analyst II - Job Opportunity at Moda Health

Portland, United States
Full-time
Mid-level
Posted: March 12, 2025
Remote
USD 61,877 - 77,364 per year

Benefits

Comprehensive Medical Insurance with Pharmacy Coverage
Premium Dental and Vision Coverage
Life and Disability Insurance Protection
Competitive 401(k) with Employer Matching
Flexible Spending Account for Tax Advantages
Employee Assistance Program for Work-Life Balance
Generous PTO Package with Paid Holidays
Work From Home Flexibility

Key Responsibilities

Lead contract negotiation analysis using healthcare claims data and market intelligence
Develop and maintain sophisticated financial modeling tools for provider contract terms
Create standardized reporting frameworks for provider network management
Design and implement provider scorecards and performance metrics
Conduct complex healthcare claims auditing and contract compliance verification
Serve as strategic advisor to provider contracting team on industry trends and financial impacts
Drive consumer-driven healthcare initiatives through data-driven insights
Maintain critical documentation for provider analysis processes

Requirements

Education

Bachelor's degree required; master's in healthcare administration or business administration is preferred

Experience

Three to five years of experience in the health insurance, healthcare provider or public health industry

Required Skills

Strong statistical, analytical, and problem-solving skills Experience with data analysis tools such as SAS, SQL, decision support systems, business intelligence tools and/or Microsoft Access Experience with healthcare billing or claims data Knowledge of reimbursement concepts and methodologies, financial analysis, contracting and contract negotiations Advanced Microsoft Excel skills and proficiency with all Microsoft Office products Strong verbal, written and interpersonal communication skills Independent project management capabilities Strong collaborative teamwork abilities
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Sauge AI Market Intelligence

Industry Trends

Healthcare analytics is experiencing rapid growth due to increased focus on value-based care and cost containment, making provider data analysis roles increasingly critical The shift toward data-driven healthcare decision making is creating higher demand for analysts who can bridge clinical and financial perspectives Remote work flexibility in healthcare analytics has become a standard offering, reflecting broader industry adaptation to distributed workforce models

Salary Evaluation

The offered salary range of $61,877 - $77,364 is competitive for a mid-level healthcare analyst role in Portland, though slightly below similar positions in major healthcare hubs. Top performers in this role typically reach $85,000-95,000 within 2-3 years.

Role Significance

Typically part of a specialized analytics team of 5-8 professionals supporting a larger provider relations department of 15-25 staff
Mid-level position with significant analytical autonomy and strategic input into provider contracting decisions

Key Projects

Provider network optimization analysis Contract term financial modeling Performance metric development Healthcare cost containment initiatives Provider scorecard implementation

Success Factors

Deep understanding of healthcare reimbursement models and provider contracting Advanced analytical skills with ability to translate complex data into actionable insights Strong communication skills to interface effectively with provider relations team Proactive problem-solving approach with attention to detail Ability to manage multiple high-priority projects independently

Market Demand

High demand with strong growth trajectory as healthcare organizations increasingly rely on sophisticated data analysis for provider network optimization and contract negotiations

Important Skills

Critical Skills

Healthcare claims data analysis expertise - Essential for core role responsibilities and contract modeling SQL and data warehouse tools - Required for efficient data extraction and analysis Healthcare reimbursement knowledge - Critical for understanding contract implications Financial modeling capabilities - Fundamental for contract term analysis

Beneficial Skills

SAS or similar statistical tools - Valuable for advanced analytics Healthcare quality metrics knowledge - Important for provider scoring Project management skills - Helpful for managing multiple analyses Industry trend awareness - Valuable for strategic recommendations

Unique Aspects

Full remote work opportunity in traditionally office-based role
Strong emphasis on diversity and inclusion in workplace culture
Combination of technical analytics and strategic business impact
Direct involvement in healthcare cost management initiatives

Career Growth

Typical progression to senior analyst within 2-3 years, management potential in 4-5 years with demonstrated leadership capabilities

Potential Next Roles

Senior Provider Data Analyst Provider Analytics Manager Healthcare Analytics Director Provider Network Strategy Manager

Company Overview

Moda Health

Moda Health, founded in 1955, is an established regional healthcare organization with a strong focus on innovation and quality healthcare delivery

Mid-sized regional player with strong presence in Oregon and expanding footprint in Western United States
Significant regional influence in Pacific Northwest healthcare market with growing provider network
Progressive work environment emphasizing work-life balance, professional development, and diversity inclusion
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