Payment Policy Research Analyst

For our client, we are seeking a Payment Policy Research Analyst to join the team of a leader in the Healthcare space. This role will focus on researching and evaluating payment policies, claims editing opportunities, and cost-saving solutions that improve operational performance. You will use data-driven insights to identify enhancements, conduct analytical and investigative work, and help shape strategies that support smarter payment initiatives. The position also partners closely with internal stakeholders and leadership to build alignment, influence decisions, and advance innovative approaches within the organization. Location: Remote - US based candidates only, no visa sponsorship available Compensation: $105,560 – $162,552 annually Responsibilities Research and assess internal payment policies and solutions against competitors Identify new cost savings opportunities through data insights Develop strategies for cost savings, including policy enhancements and claims editing Engage in analytical and investigative work to support opportunity development Build relationships with stakeholders to align on payment initiatives Influence leadership to adopt innovative ideas and approaches Qualifications High School Diploma or equivalent required; Bachelor's degree preferred CPC Certification required within first 6 months of hire 3 years of health plan experience or medical coding required 3 years of health plan claim auditing or appeals preferred Intermediate skills in Excel, PowerPoint, and Outlook Benefits Medical, Dental, Vision plans Adoption, Fertility, and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick Leave Paid Parental & Family Caregiver Leave Emergency Backup Care Long-Term, Short-Term Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition Assistance – $5,250/year Student Debt Pay Down – $10,000 Pet Insurance Legal Resources Plan Annual discretionary bonus opportunity Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.