Remote Payer Analytics Consultant

Consult; Northern (KY); Hybrid; USD 118,000 - 140,000; Full time

Benefits offered by this job

Medical, Dental and Vision Plans

401(a) Retirement Plan

457 Deferred Compensation Plan

Paid Holidays

Job summary

Central California Alliance for Health is seeking a Payer Analytics Consultant (Defined Term) in the Payment Strategy Department. The role focuses on building payer models, conducting financial analyses, and coordinating with finance, network management, operations, and clinical teams to ensure accurate reimbursement strategies.

The ideal candidate is technically strong in data interpretation, has experience with provider reimbursement methodologies, and communicates complex concepts clearly to

Qualifications

• Bachelor’s degree required in a relevant field.
• Minimum of three years’ experience performing financial healthcare reimbursement analysis; Master’s degree may substitute for two years.
• Experience working with payer financial modeling and reimbursement strategies.

Responsibilities

• Designs and validates managed care payer models and analyzes feasibility of reimbursement methodologies.
• Performs moderately complex financial analyses to support payer reimbursement outcomes.
• Coordinates with internal and external stakeholders to achieve payer reimbursement objectives.

Skills

Financial modeling

Payer reimbursement

Provider payment methodologies

SQL

Tableau

Data interpretation

Excel (pivot tables)

Education

Bachelor’s degree in Business Administration, Accounting, Finance, Healthcare, or related field

Tools

SQL

Tableau

Excel

Job description

Central California Alliance for Health is seeking a Payer Analytics Consultant (Defined Term) in the Payment Strategy Department. The role focuses on building payer models, conducting financial analyses, and coordinating with finance, network management, operations, and clinical teams to ensure accurate reimbursement strategies.

The ideal candidate is technically strong in data interpretation, has experience with provider reimbursement methodologies, and communicates complex concepts clearly to