Payer Analytics Economics Analyst
RemoteUnited States
United StatesRemoteContractEnterprise
ContractEnterprise
Job Summary
Analyze payer contracts, claims data, and market trends to optimize relationships, contract performance, and financial health. Perform strategic pricing analysis to support reimbursement rate negotiations, develop financial models, and monitor contract profitability. Act as a liaison between CommonSpirit Health and payers to update information regarding reimbursement changes. Provide stakeholder training on negotiated contracts and interpret payer policies impacting performance. Identify and manipulate internal and external financial databases to support analyses for new rate structures and strategies.
Required Qualifications
- Bachelors Other in Business Administration, Accounting, Finance, Healthcare or related field
- One (1) year of experience in financial healthcare reimbursement analysis
- Understanding of national standards for fee-for-service and value-based provider reimbursement methodologies
- Experience in contribution to profitability through detailed financial analysis
- Efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations
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