Director, Payer Analytics

Responsibilities

• Lead analytics strategy supporting commercial payer contracts, reimbursement analysis, and managed care performance.
• Serve as a strategic advisor to contracting leadership, providing data-driven insights that guide negotiations and payer strategy.
• Analyze contract performance, payment yield, denials, reimbursement methodologies, and settlement activity.
• Develop executive-facing dashboards and reporting that inform financial and operational decision-making.
• Partner closely with payer contracting, finance, revenue cycle, and operational leaders across the organization.
• Leverage Epic Clarity, Caboodle, claims data, and enterprise data warehouses to build scalable analytics solutions.
• Translate complex financial and contract data into actionable recommendations for senior leadership.
• Build, mentor, and lead a new analytics team, with immediate plans to hire multiple analysts.

Qualifications

• 9+ years of progressive experience in healthcare analytics, medical economics, healthcare finance, managed care, or payer contracting.
• Strong background supporting payer contracting, reimbursement analysis, managed care operations, or healthcare financial strategy.
• Experience working with Epic Clarity, Caboodle, claims data, and enterprise data warehouses.
• Epic Clarity Certification
• Advanced SQL and reporting skills, with experience using Power BI, Tableau, Python, or similar analytics tools.
• Prominent ability to lead a team and communicate analytical findings to executive and non-technical audiences.