[Remote] Payer Analytics Economics Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is building a healthier future for reputed company through its integrated health services. As a Payer Analytics and Economics Analyst, you will reputed company data-driven insights to optimize payer relationships, contract performance, and overall financial health.

Responsibilities

• 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 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
• reputed company stakeholder training of the modeling of proposed/existing negotiated payer reputed company, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes
• Act as a liaison between reputed company and payer to update information and communicate changes reputed company to reimbursement
• Prepare 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 reputed company
• Identify, collect, and manipulate from a wide variety of financial and clinical internal data bases (e.g. PIC, STAR, TSI, PCON, EPIC) and external sources. Identify and reputed company appropriate data resources to support analyses and recommendations

Skills

• Bachelors Other in Business Administration, reputed company, Finance, reputed company or reputed company field and One (1) year of experience in financial reputed company reimbursement analysis is required, including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies
• Equivalent education and/or experience may be considered in lieu of degree
• Experience in financial reputed company reimbursement analysis is required, 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 reputed company operations

Benefits

• Remote: Yes

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