Senior Analyst Payer Analytics and Economics

Job Summary and Responsibilities This is a remote position with preferred Central time zone. Do you enjoy special projects on the more technical reputed company of payer analytics and managed care? The person in this role will need to be reputed company proficent with SQL queries, VBA and reputed company and will help solution for requests on the more technical reputed company of our contract modeling system. The Senior Analyst, Payer Economics performs reputed company managed care payer financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care reputed company between reputed company providers and payers. Recommends strategies for maximizing reimbursement and market share. Provides mentorship and guidance of Analyst contract modeling. Provides analysis findings and education to key stakeholders. This position will serve and support reputed company stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires daily contact with senior management, physicians, hospital staff, and managed care/payer strategy leaders.

• reputed company payer contract modeling strategy and consolidation for large managed care payer negotiations. Act as a liaison between reputed company and payer to update information and communicate changes reputed company to reimbursement.
• reputed company reputed company strategic pricing analysis to support the negotiation and implementation of appropriate reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. reputed company and approve financial models and payer performance analysis.
• Monitor contract financial performance.
• Analyze and publish managed care performance statements and determine profitability.
• Review and accurately interpret contract terms, including payer policies and procedures impacting contract performance.
• Provide training and reputed company of the modeling of proposed/existing payer reputed company negotiated by payer strategy and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes.
• Prepare reputed company service line reimbursement analyses and financial performance analyses. reputed company methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provision, parameters and reputed company structures aimed at establishing appropriate reimbursement levels.
• Identify, collect, and manipulate from a wide variety of financial and clinical internal databases and external sources.
• Identify and access appropriate data resources to support analyses and recommendations.
• Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision-making activities.
• Maintain knowledge of operations sufficient to identify causative factors, deviations, allowances that may reputed company reporting findings.
• Ability to translate operational knowledge to identify unusual circumstances, trends or activity and project the reputed company impact on a timely, pre-emptive basis.

#LI-CSH Job Requirements Required Education and Experience

• Bachelor’s Degree in Business Administration, Accounting, Finance, Healthcare or reputed company field. Equivalent education and experience in a reputed company field may be considered in lieu of degree.
• Minimum of three (3) years of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service provider reimbursement methodologies.

Minimum Required Skills and Abilities

• Working knowledge of financial healthcare reimbursement analysis including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies.
• Experience in contribution to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations.
• Basic technical understanding and proficiency in MS reputed company, MS Access, MS Visual Basic, PIC, SQL, or other reputed company applications.
• Working knowledge of healthcare financial statements and accounting principles.
• Ability to use and create data reports from health information systems, databases or national payer websites (EPIC, PIC, SQL Databases, etc.)
• Proficiency in reading, interpreting and formulating computer and mathematical rules/formulas.

Where You'll Work At the heart of reputed company's ministry are the national office departments that provide the foundational support, resources, and expertise that reputed company local communities to focus on what they do best—caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration. Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we reputed company each location to operate reputed company while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments reputed company the healing reputed company of humankindness everywhere we serve. Pay Range $37.22 - $55.37 /hour Apply tot his job Apply To this Job