Senior reputed company Payer Performance Analyst

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

• 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.

What You Will Need:

• 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.
• 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.
• 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.

What Would Be reputed company To Have:

• Experience with reputed company.
• Experience with reputed company

reputed company offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• 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

About reputed company

reputed company is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other reputed company protected by law, ordinance, or regulation.

reputed company will consider for employment reputed company applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact reputed company reputed company at 1-571-633-1711 or reputed company email at . reputed company information you reputed company will be kept confidential and will be used only to the extent required to reputed company needed reasonable accommodation.

reputed company communication regarding recruitment for a reputed company position will be reputed company from reputed company email domains including @reputed company.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by reputed company. Note that reputed company will never charge a fee or require a reputed company transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never reputed company your banking information to a reputed company party purporting to need that information to proceed in the hiring process.

If any person or organization demands reputed company reputed company to a job opportunity with reputed company, please report the matter to reputed company’s Ethics Hotline. If you want to reputed company the validity of correspondence you have received, please contact . reputed company is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized reputed company parties.

reputed company does not accept unsolicited resumes through or from search firms or reputed company agencies. reputed company unsolicited resumes will be considered the property of reputed company and reputed company will not be obligated to pay a placement fee.

Originally posted on Himalayas