Senior Healthcare Payer Performance Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate intricate contract terms for physicians, facilities, and ancillary services, alongside claims data, fee schedules, and reimbursement results

• Create data-centric analyses to uncover trends, variances, discrepancies, and the financial or operational impacts

• Conduct root-cause analysis on issues related to contract configuration, interpretation, reimbursement, and claims processing

• Utilize Excel and business intelligence or analytics tools to organize, validate, interpret, summarize, and showcase healthcare data

• Lead analytical workstreams, synthesize outcomes, prepare deliverables, and present conclusions and recommendations

• Collaborate with contracting, reimbursement, operations, analytics, and leadership teams to clarify requirements and resolve issues

• Handle multiple priorities while ensuring accuracy, attention to detail, sound judgment, and timely deliverables

⛳️ Requirements

• Bachelor’s degree in healthcare administration, business, finance, or a related field

• 5–7+ years of experience in healthcare data analysis, reimbursement analytics, contract management, managed care, revenue cycle, payer/provider contracting, or related healthcare operations

• Solid understanding of healthcare reimbursement principles, provider and payer contract language, fee schedules, contract interpretation, and payment outcomes

• Experience in performing payment variance analysis, root-cause analysis, and issue resolution within a healthcare environment

• Advanced analytical and critical-thinking abilities for assessing large or complex data sets and translating insights into actionable recommendations

• Strong familiarity with medical terminology and healthcare coding concepts, including CPT, HCPCS, ICD, and revenue codes

• Proficiency in advanced Microsoft Excel and Office applications

• Experience with business intelligence, reporting, or analytics tools is preferred

• Exceptional written, verbal, communication, and presentation skills

• Capability to work independently, exercise sound judgment, manage high-complexity analytical tasks, and communicate risks, findings, and recommendations

• Experience with FinThrive is a plus

• Familiarity with Epic is also a plus

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time

• Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life Insurance

• Health Savings Account

• Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement

• Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program