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Payer Policy and Strategy Analyst

Job Details

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

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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