Payor Contracting Analyst — Data-Driven Healthcare Finance

The CORE Institute | HOPCo; Phoenix (AZ); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

401k with company match

HDHP with company match

Employee Assistance Program 24/7

Employee Appreciation Days

Wellness Events

Job summary

The CORE Institute | HOPCo in Phoenix, AZ seeks an experienced healthcare analytics professional to join our data-driven team. You will analyze physician reimbursement data, CMS regulations, and cost trends to support value-based care initiatives, provider contracting, and financial planning.

Strong Excel skills, database experience, and the ability to work independently or with a team are essential.

Qualifications

• Minimum of three years of experience in an analytic role in a healthcare environment with knowledge of physician reimbursement methodologies.
• Intermediate to advanced MS Excel skills (pivot tables, VLOOKUP, conditional formulas).
• Experience using relational databases.
• Bachelor’s Degree in Finance or Healthcare Administration preferred.

Responsibilities

• Demonstrate thorough knowledge of CMS regulations and reimbursement methodologies relevant to professional claims.
• Familiarity with value-based care payment models and industry trends.
• Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs.
• Possesses strong organizational skills and careful attention to detail.
• Must be able to problem-solve and come forward with recommendations.

Skills

Data analysis

Report design

Attention to detail

Education

Bachelor’s Degree preferred

Tools

Excel advanced

Relational databases

Job description

The CORE Institute | HOPCo in Phoenix, AZ seeks an experienced healthcare analytics professional to join our data-driven team. You will analyze physician reimbursement data, CMS regulations, and cost trends to support value-based care initiatives, provider contracting, and financial planning.

Strong Excel skills, database experience, and the ability to work independently or with a team are essential.