Payer Policy and Strategy Analyst

UVM Health - UVM Medical Center; South Burlington (VT); On-site; USD 65,000 - 90,000; Full time

Job summary

UVM Health - UVM Medical Center is seeking an analytics professional to support managed care contracting and value-based payment strategy in Vermont. You will monitor payer policies, reimbursement trends, market developments, and contract performance to inform strategic decisions.

The role emphasizes market intelligence, reimbursement analyses, and reporting. You will develop negotiation support materials, model payment methodologies, and produce regular dashboards to track contract outcomes and

Qualifications

• Bachelor's degree or equivalent 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

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

Skills

Healthcare analytics

Financial analysis

Data visualization

Education

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

Tools

Excel

Financial modeling

Data visualization tools

Job description

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.

Reports To: Payer Contracting, Policy & Regulatory Counsel

Key Responsibilities

Market Intelligence

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

Analytics

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

Reporting

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

Strategic Support

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

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.