Payer Contracting Analyst - Remote

Overview

The Payer Contracting Analyst is a key contributor on our Payer Contracting team in enabling both the team and other departments to make better data driven decisions on financial, operational, and clinical initiatives.

In Short

• Conduct quantitative analyses to evaluate payer performance, utilization trends, cost drivers, and reimbursement outcomes.
• Develop insights that support contract strategies, rate negotiations, and value-based care program underwriting.
• Responsible for assessing legal and financial implications of all contracting opportunities.
• Build and maintain fee schedule models to forecast expected reimbursement under various contract terms.
• Perform scenario analysis and assess financial impacts of proposed rate changes.
• Assist in the development of value-based care financial models.
• Support ongoing monitoring of value-based program performance.
• Write SQL queries to extract and analyze medical claims data.
• Develop standardized reports and dashboards.
• Collaborate with cross-functional teams for data-driven business decisions.

Requirements

• Bachelor’s degree in a quantitative field or equivalent experience.
• Experience using SQL.
• Strong Microsoft Excel skills.
• 1+ years experience working with healthcare claims data preferred.
• Strong project management and analytical skills.
• Must comply with HIPAA rules and regulations.

Benefits

• Annual bonus targeted at 10%.
• Medical, dental, vision, life, and pet insurance.
• 401K and paid time off.
• Wellness programs.