System Manager Payer Analytics Economics

About the role

The System Manager, Payer Analytics & Economics will provide strategic leadership and expert oversight for all aspects of the organization's payer relations and contracting, ensuring optimal financial performance and sustainable partnerships with health plans. You will manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers across the system. You must possess strong analytical and negotiation skills, a comprehensive understanding of healthcare reimbursement methodologies, managed care models, and regulatory requirements, and proven leadership experience in payer contracting and relations within a complex healthcare environment.

Responsibilities

• Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff.
• Oversee quality control and quality assurance of Payer Analytics & Economics analytics deliverables and financial models to support the negotiation and implementation of appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives.
• Review and accurately interpret contract terms, including payer policies and procedures to appropriately contract performance and influence strategic pricing strategies.
• Maintain contract financial performance. Analyze and publish managed care performance statements and determine profitability.
• Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer strategy and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes.
• Oversee and prepare complex service line reimbursement analyses and financial performance analyses. Develop methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provisions, parameters and rate structures aimed at establishing appropriate reimbursement levels. Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision making activities.

Requirements

• Bachelor's degree in Business Administration, Accounting, Finance, Healthcare or related field or equivalent education and experience in related field(s) may be considered in lieu of degree.
• Five (5) years of experience in contributing to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and/or healthcare operations.
• Two (2) years of experience in a supervisory role.

Preferred

• Strongly prefer hospital or managed care experience.
• Strongly prefer some experience with SQL queries and strong Excel.
• EPIC experience a big plus.

Qualifications

• Experience in payer contracting and relations within a complex healthcare environment.
• Strong analytical and negotiation skills.
• Comprehensive understanding of healthcare reimbursement methodologies, managed care models, and regulatory requirements.

Skills

• Strong analytical and negotiation skills.
• Comprehensive understanding of healthcare reimbursement methodologies, managed care models, and regulatory requirements.
• Proven leadership experience in payer contracting and relations within a complex healthcare environment.

Benefits

• Medical
• Prescription Drug
• Dental
• Vision
• Life Insurance
• Retirement Plan(s)
• Other Benefits

Pay

$49.78 - $82.14 /hour

Schedule

Monday - Friday (8:00am - 5:00pm)

Travel

Yes, 10% of the Time

Category

Managed Care

Department

Payer Relations

Hours/Pay Period

80

Employment Type

Full Time

Remote

Yes

Job ID

2026-456187

Application Instructions

Applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

Equal Opportunity Employer

CommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.