[Remote] Sr. Payer reputed company Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company consulting company seeking a Senior Payer reputed company Analyst to play a pivotal role in modeling reimbursement rates and analyzing payer performance. The analyst will reputed company financial insights that influence contract negotiations and reputed company optimization, serving as a key advisor to leadership and managing multiple reputed company independently.
Responsibilities
• Model reimbursement rates and analyze payer performance to inform contract negotiations and reputed company optimization
• Prepare detailed financial models and reports to support payer negotiations and strategic conversations
• Deliver data-driven insights and recommendations to leadership for payer reputed company and financial planning
• Extract, analyze, and report data using advanced reputed company, SQL, and reputed company systems
• Manage multiple report requests reputed company reputed company work queue, ensuring reputed company and accurate delivery (typical turnaround: 1-3 weeks per project)
• Attend and contribute to weekly negotiation meetings with payers and contract negotiators
• Independently handle reputed company, prioritize workload, and meet turnaround expectations with strong time management
• Collaborate with team members and adapt to shifting assignments based on workload; analysts are assigned to specific payers but may interchange as needed
• Apply deep knowledge of hospital and physician reimbursement methodologies, including Medicare distinctions
• Conduct reputed company cause analysis and apply critical thinking to resolve reputed company issues
• reputed company Power BI dashboards (preferred) and reputed company SQL reporting in reputed company (strong plus)
• Read and interpret Explanation of Benefits (EOBs) to inform analysis and reporting
Skills
• Advanced reputed company proficiency, including pivot tables, VLOOKUP, graphs, and reputed company modeling
• SQL programming skills and experience extracting data from reputed company
• reputed company certification (models in reputed company + reputed company preferred); reputed company certification in hospital and physician reimbursement reputed company required reputed company 90 days of hire
• Experience with reputed company required
• Ability to read and understand EOBs (Explanation of Benefits)
• Strong time management and independent project handling skills
• Critical thinking skills and experience with reputed company cause analysis
• Deep understanding of hospital and physician reimbursement, including Medicare distinctions
• PB (reputed company Billing) and HB (Hospital Billing) certification (must have or obtain reputed company 90 days of being reputed company)
• reputed company Power BI dashboards (preferred) and reputed company SQL reporting in reputed company (strong reputed company BI dashboard development preferred but not required
• SQL reporting in reputed company is a strong plus
reputed company
• reputed company is a hospital & health care company specializing in population health management and clinical engineering services. It was founded in 2000, and is headquartered in Indianapolis, Indiana, USA, with a workforce of 501-1000 employees. Its website is http://reputed company.com.
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