Payer Performance & Reimbursement Analyst

UC Health; Cincinnati (OH); On-site; USD 90,000 - 130,000; Full time

Job summary

UC Health in Cincinnati is seeking a Managed Care Performance Analyst to evaluate financial, operational, and contractual performance across commercial and government payer agreements. You will model rate changes, analyze denials and net revenue trends, develop defensible analyses for negotiations, and deliver actionable reporting to senior leadership.

Travel to UC Health facilities may be required; on-site, with normal business hours.

Qualifications

• 3–5 years of equivalent experience in managed care contracting, reimbursement analysis, or payer performance.
• Strong knowledge of payer contracts, rate schedules, and reimbursement methodologies.
• Advanced Excel and healthcare reporting experience; SQL, Power BI, or Tableau preferred.
• Excellent written and verbal communication skills for leadership and payer representatives.
• Ability to model financial impact of rate changes and forecast outcomes.

Responsibilities

• Analyze reimbursement performance for commercial, Medicare Advantage, Medicaid, and other payer contracts.
• Validate expected versus actual reimbursements and identify underpayments and variances.
• Model financial impact of rate changes, amendments, and policy changes.
• Develop recurring payer scorecards and executive reports.
• Collaborate with Finance, Revenue Cycle, Contracting, and Operational teams.
• Escalate material trends to Managed Care leadership.

Skills

Managed care contracting

Payer reimbursement

Financial modeling

Forecasting

Excel advanced

SQL

Power BI

Tableau

Communication

Project management

Education

Bachelor's degree

Tools

SQL

Power BI

Tableau

Epic

Job description

UC Health in Cincinnati is seeking a Managed Care Performance Analyst to evaluate financial, operational, and contractual performance across commercial and government payer agreements. You will model rate changes, analyze denials and net revenue trends, develop defensible analyses for negotiations, and deliver actionable reporting to senior leadership.

Travel to UC Health facilities may be required; on-site, with normal business hours.