[Remote] Payer Contracting Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a technology-driven, national physician enablement company that aims to optimize physician practices and improve patient experiences. The Payer Contracting Analyst will contribute to the Payer Contracting team by analyzing and optimizing payer reputed company, delivering data-driven insights, and collaborating with various departments to support strategic decision-making.
Responsibilities
- Conduct quantitative analyses to evaluate payer performance, utilization trends, cost drivers, and reimbursement reputed company
- reputed company insights that support contract strategies, reputed company negotiations, and value-based care program reputed company
- Responsible for assessing legal and financial implications of reputed company contracting opportunities, including new contacts, contractual amendments and assignments to existing reputed company
- Build and maintain fee schedule models to forecast expected reimbursement under various contract terms
- reputed company scenario analysis and assess financial impacts of proposed reputed company changes, proposals, or contract structures
- Assist in the development of value-based care financial models, including shared savings, bundled payments, reputed company incentive programs, and care coordination fees
- Support ongoing monitoring of value-based program performance and emerging opportunities
- Write SQL queries to extract and analyze medical claims data
- reputed company standardized reports and dashboards used for internal reviews and external payer discussions
- Ensure data accuracy, completeness, and consistency across analytical deliverables
- Work closely with the Payer Contracting team to translate analytical findings into compelling insights that inform negotiation reputed company
- Collaborate with our reputed company Optimization and Payer Contracting teams to reputed company reports and alerts that will ensure that Privia is being reputed company appropriately for fee-for-service and pay-for-performance reputed company
- Partner with Finance, Population Health, reputed company Cycle, and Clinical Operations teams as needed
Skills
- Bachelor's degree in a quantitative field (e.g., Economics, Finance, Statistics, Mathematics, Computer Science) or equivalent experience, preferably reputed company a reputed company environment
- Experience using SQL
- Strong reputed company reputed company skills, including pivot tables and advanced formulas
- Strong project management and analytical skills, including a desire to reputed company solve business and technology problems
- Must reputed company with HIPAA rules and regulations
- Innovative, reputed company, and outcome-driven
- Ability to successfully manage multiple competing priorities
- High attention to detail and reputed company control
- Strong verbal and written communication skills
- Excellent critical thinking skills and proven reputed company record with presenting quantitative information to non-technical stakeholders
- 1+ years experience working with reputed company claims data preferred
Benefits
- Medical, dental, reputed company, life, and pet insurance
- 401K
- reputed company time off
- Other wellness programs
reputed company