Payer Policy and Strategy Analyst

Key Responsibilities

• Monitor payer policy bulletins and reimbursement changes.
• Track industry and market trends.
• Benchmark contract performance against market standards.
• Perform reimbursement and contract impact analyses.
• Develop negotiation support materials.
• Model proposed payment methodologies.
• Produce regular contract performance reports and dashboards.
• Support dashboards for payer and value-based initiatives.
• Analyze payer trends.
• Support contract negotiations and payer strategy development.
• Conduct competitive analyses.
• Identify opportunities for revenue optimization and risk reduction.

Qualifications

• Bachelor's degree in Finance, Healthcare Administration, Economics, or related field.
• 3-5 years healthcare analytics experience.
• Strong Excel, financial modeling, and data visualization skills.
• Understanding of managed care reimbursement and value-based payment models.