Payor Contracting Analyst — Reimbursement Analytics

The CORE Institute; Phoenix (AZ); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

HSA with qualifying HDHP plans with 4%

401k plan after 6 months of service w/

Employee Assistance Program 24/7

Job summary

The CORE Institute in Phoenix is seeking a Healthcare Financial Analyst to apply advanced data analysis to physician reimbursement and CMS methodologies. You will analyze provider billing practices and cost trends to support value-based care initiatives and improve financial performance.

Qualified candidates bring 3+ years in healthcare analytics, strong Excel and database skills, and the ability to work independently while collaborating with cross-functional teams.

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, VLOOKUPs, 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 related 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 physician contracts, utilization, and costs.
• Possesses strong organizational skills and attention to detail.
• Ability to problem-solve and make recommendations.
• Ability to work independently and as part of a team.

Skills

Analytical thinking

Excel skills

Data analysis

Attention to detail

Problem solving

Independent and team work

Education

Bachelor’s degree in Finance or Healthcare Administration preferred

Tools

Relational databases

CMS regulations knowledge

Job description

The CORE Institute in Phoenix is seeking a Healthcare Financial Analyst to apply advanced data analysis to physician reimbursement and CMS methodologies. You will analyze provider billing practices and cost trends to support value-based care initiatives and improve financial performance.

Qualified candidates bring 3+ years in healthcare analytics, strong Excel and database skills, and the ability to work independently while collaborating with cross-functional teams.