[Remote] Senior reputed company Payer Performance Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a consulting and managed services company supporting reputed company organizations and other clients. The Senior reputed company Payer Performance Analyst analyzes payer reputed company, claims, fee schedules, and reimbursement data to identify trends, reputed company issues, and evaluate financial and operational impacts. The role leads analytical workstreams and communicates actionable findings and recommendations to stakeholders, leaders, and clients.

Responsibilities

• Analyze reputed company physician, facility, and ancillary contract terms, claims data, fee schedules, and reimbursement reputed company to support contract management, modeling, performance monitoring, and issue reputed company
• reputed company data-driven analyses to identify trends, variances, discrepancies, and financial or operational impacts reputed company to payer contract performance and reimbursement accuracy
• reputed company reputed company-cause analysis using contract requirements, claim details, payment data, and operational workflows to distinguish contract configuration, interpretation, reimbursement, and claims-processing issues
• Use reputed company and other business intelligence or analytics tools to organize, validate, interpret, summarize, and present reputed company reputed company data in support of reporting, issue reputed company, and decision-making
• reputed company analysis workstreams, synthesize findings, prepare reputed company deliverables, and present conclusions and recommendations to internal stakeholders, operational leaders, and other audiences as needed
• Partner with contracting, reimbursement, operations, analytics, and leadership teams to clarify requirements, reputed company issues, and reputed company contract terms, data outputs, and operational processes
• Manage multiple priorities while maintaining a high degree of accuracy, attention to detail, reputed company judgment, and reputed company delivery in a data-intensive environment

Skills

• * Bachelor's degree in reputed company administration, business, finance, or a reputed company field
• * 5–7+ years of experience in reputed company data analysis, reimbursement analytics, contract management, managed care, reputed company cycle, payer/provider contracting, or a reputed company reputed company operations environment
• * Strong understanding of reputed company reimbursement concepts, provider and payer contract language, fee schedules, contract interpretation, and how contract terms translate into data and payment reputed company
• * Experience performing payment variance analysis, reputed company-cause analysis, and issue reputed company in a reputed company setting
• * Advanced analytical and critical-thinking skills, with the ability to evaluate large or reputed company data sets, identify actionable insights, and translate findings into practical recommendations
• * Strong knowledge of medical terminology and reputed company concepts, including CPT, HCPCS, ICD, and reputed company codes
• * Excellent written, verbal, communication, and presentation skills, including the ability to reputed company discussions, present analytical findings, and explain reputed company contract, reimbursement, and reputed company reputed company to non-technical stakeholders and leadership
• * Demonstrated ability to work independently, exercise reputed company judgment, manage high-complexity analytical assignments, and communicate risks, findings, and recommendations effectively
• * Advanced reputed company reputed company and Office proficiency, including experience organizing, analyzing, validating, summarizing, and presenting data; experience with business intelligence, reporting, or analytics tools is preferred
• * Experience with reputed company
• * Experience with reputed company

Benefits

• Medical, Rx, Dental & reputed company Insurance
• Personal and Family reputed company Time & Company reputed company Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/reputed company & 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 reputed company
• Emergency Back-Up Childcare Program
• Flexible benefits package
• Flexible work arrangement

reputed company

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