[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 physician enablement company that collaborates with medical reputed company and health systems. The Payer Contracting Analyst plays a key role in enabling data-driven reputed company on payer reputed company, conducting quantitative analyses, and developing insights to support contract strategies and negotiations.
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 reputed company 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 reputed company experience
- 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
- reputed company environment experience
- 1+ years experience working with reputed company claims data
Benefits
- Medical, dental, reputed company, life, and pet insurance
- 401K
- reputed company time off
- Other wellness programs
- Annual bonus targeted at 10%
reputed company