Payer Economics & Analytics Analyst — Optimize Contracts

CommonSpirit Health; Chicago (IL); Sur place; USD 47 000 - 70 000; Plein temps

Résumé du poste

CommonSpirit Health in Chicago, IL seeks a Payer Analytics and Economics Analyst to leverage data-driven insights for payer relationships, contract performance, and the financial health of the organization.

You will analyze payer contracts, claims data, and market trends to identify opportunities for revenue enhancement, cost reduction, and improved contract terms, using strong analytical and financial modeling skills and a solid understanding of reimbursement methodologies.

Qualifications

• Bachelor's degree in Business Administration, Accounting, Finance, Healthcare or related field; equivalent education/experience may be considered.
• One year of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies.
• Experience in profitability analysis and data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations.

Responsabilités

• Perform strategic pricing analysis to support negotiation of reimbursement rates and related terms in managed care contracting initiatives.
• Monitor contract financial performance and publish managed care performance statements.
• Provide stakeholder training on modeling proposed/existing negotiated payer contracts with revenues, volumes, and regulatory changes.
• Act as liaison between CommonSpirit Health and payer to update reimbursement information.
• Prepare service line reimbursement analyses and develop models to assess new/revised strategies and rate structures.
• Identify and access relevant internal and external data resources to support analyses.

Connaissances

Analytical skills

Quantitative analysis

Financial modeling

Healthcare reimbursement

Payer contracting

Managed care economics

Formation

Bachelor's degree in Business Administration/Accounting/Finance/Healthcare or related field

Description du poste

CommonSpirit Health in Chicago, IL seeks a Payer Analytics and Economics Analyst to leverage data-driven insights for payer relationships, contract performance, and the financial health of the organization.

You will analyze payer contracts, claims data, and market trends to identify opportunities for revenue enhancement, cost reduction, and improved contract terms, using strong analytical and financial modeling skills and a solid understanding of reimbursement methodologies.