Payer Strategy & Reimbursement Analytics

UVM Health - UVM Medical Center

South Burlington (VT)

On-site

USD 65,000 - 90,000

Full time

2 days ago

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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.