Remote Payer Analytics Architect

Central California Alliance for Health; Scotts Valley (CA); On-site; USD 118,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(a) Retirement Plan

Paid Time Off

Job summary

Central California Alliance for Health is seeking a Payer Analytics Consultant (Defined Term) in the Payment Strategy Department to design and validate payer models and analyze financial outcomes. The role reports to the Payment Strategy Director and requires collaboration across finance, network management, operations, and clinical teams.

The ideal candidate will have expertise in payer methodologies, data interpretation, and scenario modeling, with strong communication skills for technical and

Qualifications

• Experience in financial healthcare reimbursement analysis.
• Knowledge of payer models and reimbursement methodologies.
• Experience with data interpretation and scenario modeling.

Responsibilities

• Designs and validates managed care payer models and performs moderately complex analysis to evaluate feasibility of payer reimbursement methodologies.
• Conducts moderately complex financial analysis to support successful payer reimbursement outcomes.
• Coordinates and collaborates with internal and external stakeholders to achieve payer reimbursement objectives.

Skills

Financial modeling

Payer reimbursement

SQL

Tableau

Education

Bachelor's degree in Business Administration, Accounting, Finance, Healthcare

Master's degree may substitute for 2 years experience

Tools

SQL

Tableau

Job description

Central California Alliance for Health is seeking a Payer Analytics Consultant (Defined Term) in the Payment Strategy Department to design and validate payer models and analyze financial outcomes. The role reports to the Payment Strategy Director and requires collaboration across finance, network management, operations, and clinical teams.

The ideal candidate will have expertise in payer methodologies, data interpretation, and scenario modeling, with strong communication skills for technical and