- Key Responsibilities:
- Technically strong with proven experience in payer financial modeling, provider payment methodologies, payment structure design, and reimbursement strategy development.
- Skilled in data interpretation, trend analysis, and scenario modeling to inform decision-making and optimize payment accuracy.
- Collaborative and solutions-focused, working effectively across departments to align analytics with business goals.
- Clear and professional communicator able to explain complex financial and analytical concepts.
- Relationship-driven, fostering productive partnerships with internal stakeholders and external partners.
- Bachelor's degree in Business Administration, Accounting, Finance, Healthcare, or a related field.
- A minimum of three years of experience performing financial healthcare reimbursement analysis; or an equivalent combination of education and experience may be qualifying.
- Medical, Dental and Vision Plans.
- Ample Paid Time Off.
- 12 Paid Holidays per year.
- 401(a) Retirement Plan.
- 457 Deferred Compensation Plan.
- Robust Health and Wellness Program.
- Onsite EV Charging Stations.
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Payer Analytics Consultant - Aurora - Central California Alliance for Health (Remote)
Description
Payer Analytics Consultant
Join a dynamic team as a Payer Analytics Consultant in the Payment Strategy Department at Central California Alliance for Health. This position can be filled remotely for those living in California.
Design and validate managed care payer models to evaluate the feasibility of payer reimbursement methodologies, perform moderately complex financial analysis, and collaborate with internal and external stakeholders.
Requirements:
Benefits:
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