Payer Policy and Strategy Analyst
- Job Ref:
- R0089091
- Category:
- Administration
- Employment Type:
- Full-Time
- Health Care Partner:
- University of Vermont Medical Center
- Location:
- 40 IDX Dr, South Burlington, VT 05403
- Department:
- UVMHN – High Value Care
- Job Type:
- Regular
- Primary Shift:
- Day
- Hours:
- -
- Hours per Week:
- 40
- Weekend Needs:
- None
- Pay Rate:
- $29.87 - $44.81 per hour
Job Details
Provides analytical support for managed care contracting and value-based payment strategy. Monitors payer policies, reimbursement trends, market developments, and contract performance to support decision-making.
Reports To: Payer Contracting, Policy & Regulatory Counsel
Key Responsibilities
Market Intelligence
· Monitor payer policy bulletins and reimbursement changes.
· Track industry and market trends.
· Benchmark contract performance against market standards.
Analytics
· Perform reimbursement and contract impact analyses.
· Develop negotiation support materials.
· Model proposed payment methodologies.
Reporting
· Produce regular contract performance reports and dashboards.
· Support dashboards for payer and value-based initiatives.
· Analyze payer trends.
Strategic Support
· Support contract negotiations and payer strategy development.
· Conduct competitive analyses.
· Identify opportunities for revenue optimization and risk reduction.
Qualifications
· Bachelor's degree in Finance, Healthcare Administration, Economics, or related field.
· 3-5 years healthcare analytics experience.
· Strong Excel, financial modeling, and data visualization skills.
· Understanding of managed care reimbursement and value-based payment models.
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