Payer Performance & Reimbursement Analyst

UC Health (Cincinnati); United States; On-site; USD 85,000 - 125,000; Full time

Job summary

UC Health Cincinnati seeks a Managed Care Performance Analyst to evaluate commercial and government payer agreements, interpret reimbursement terms, and model changes. You will identify underpayments, denials, and opportunities, delivering actionable analyses to leadership.

Requirements include a Bachelor’s degree and 3–5 years in managed care contracting or reimbursement analytics. Role emphasizes cross-functional collaboration and data-driven decisions.

Qualifications

• Bachelor's degree required.
• 3–5 years of experience in managed care contracting, reimbursement analysis, healthcare finance, or payer performance.
• Knowledge of managed care contracting and commercial and government payer.

Responsibilities

• Analyze reimbursement performance for commercial, Medicare Advantage, Medicaid, and other payer contracts.
• Validate expected vs actual reimbursement for inpatient, outpatient, professional, and specialty services.
• Model financial impact of rate changes and contract provisions; provide forecasts.
• Identify trends in net revenue, utilization, and payer performance; quantify opportunities or exposure.
• Monitor payer compliance with contracts; escalate material trends to leadership.
• Develop reporting and recommendations; support negotiations and operational improvements.

Skills

Managed care contracting

Revenue cycle analytics

Healthcare finance

Payer performance

Education

Bachelor's Degree

Tools

Excel

Job description

UC Health Cincinnati seeks a Managed Care Performance Analyst to evaluate commercial and government payer agreements, interpret reimbursement terms, and model changes. You will identify underpayments, denials, and opportunities, delivering actionable analyses to leadership.

Requirements include a Bachelor’s degree and 3–5 years in managed care contracting or reimbursement analytics. Role emphasizes cross-functional collaboration and data-driven decisions.