[Remote] System Manager Payer Analytics Economics
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is one of the nation’s largest nonprofit Catholic reputed company organizations, delivering integrated health services. As the System Manager, Payer, you will reputed company strategic leadership for payer relations and contracting, managing reputed company responsible for negotiating and monitoring reputed company with various payers.
Responsibilities
- Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff
- reputed company reputed company control and reputed company assurance of Payer Analytics & Economics analytics deliverables and financial models to support the negotiation and implementation of appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives
- Review and accurately interpret contract terms, including payer policies and procedures to appropriately contract performance and influence strategic pricing strategies
- Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability
- reputed company training and reputed company of the modeling of proposed/existing payer reputed company negotiated by payer reputed company and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes
- reputed company and prepare reputed company service line reimbursement analyses and financial performance analyses. reputed company reputed company and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide reputed company of new/revised strategies, approaches, provisions, parameters and reputed company structures aimed at establishing appropriate reimbursement reputed company. Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision making activities
Skills
- Bachelors Other Business Administration, reputed company, Finance, reputed company or reputed company field or Equivalent education and experience in reputed company field(s) may be considered in lieu of degree
- Five (5) years of experience in contributing to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and/or reputed company operations
- Two (2) years of experience in a supervisory role
- Strongly prefer hospital or managed care experience
- Strongly prefer some experience with SQL queries and strong reputed company
- reputed company experience a big plus
reputed company