Payer Policy and Strategy Analyst

UVM Health; Burlington, Northern (VT, KY); Hybrid; USD 65,000 - 95,000; Full time

Job summary

UVM Health is seeking a healthcare analytics professional to provide analytical support for managed care contracting and value-based payment strategies in Burlington, VT. The role involves monitoring payer policies, reimbursement trends, market developments, and contract performance to inform decision-making.

Responsibilities include analytics, reporting, modeling payment methodologies, and producing dashboards to support payer initiatives and negotiations, with a focus on optimizing revenue and

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.

Responsibilities

• Monitor payer policy bulletins and reimbursement changes.
• Track industry and market trends.
• Benchmark contract performance against market standards.
• Perform reimbursement and contract impact analyses.
• Develop negotiation support materials.
• Model proposed payment methodologies.
• Produce regular contract performance reports and dashboards.
• Support dashboards for payer and value-based initiatives.
• Analyze payer trends.
• Support contract negotiations and payer strategy development.
• Conduct competitive analyses.
• Identify opportunities for revenue optimization and risk reduction.

Skills

Financial modeling

Data visualization

Healthcare analytics

Education

Bachelor's degree in Finance, Healthcare Administration, Economics, or related field

Tools

Excel

Job description

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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.\

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Reports To: Payer Contracting, Policy & Regulatory Counsel\

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Key Responsibilities\

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Market Intelligence\

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• Monitor payer policy bulletins and reimbursement changes.\
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• Track industry and market trends.\
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• Benchmark contract performance against market standards.\
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Analytics\

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• Perform reimbursement and contract impact analyses.\
\
• Develop negotiation support materials.\
\
• Model proposed payment methodologies.\
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Reporting\

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• Produce regular contract performance reports and dashboards.\
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• Support dashboards for payer and value-based initiatives.\
\
• Analyze payer trends.\
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Strategic Support\

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• Support contract negotiations and payer strategy development.\
\
• Conduct competitive analyses.\
\
• Identify opportunities for revenue optimization and risk reduction.\
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Qualifications\

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• 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.\
\