Remote Payer Contract Analytics Lead

Tribunus Health LLC

Northern (KY)

Hybrid

USD 90,000 - 125,000

Full time

7 days ago
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Benefits offered by this job

Performance bonus
Part-time and hourly arrangements
Medical benefits package
401k plan

Job summary

Tribunus Health LLC in the United States is seeking a Payer Contract Analyst to translate contract language into reimbursement models and support managed care negotiations.

The role requires hospital contract modeling experience, advanced Excel and PowerPoint skills, and the ability to analyze data to drive payer strategies. Remote-friendly role with potential for flexible part-time arrangements.

Qualifications

  • Bachelor's degree in Finance, Healthcare Administration, Business or related field.
  • 5+ years in payer-related roles with 3 years in net revenue reimbursement modeling and financial analysis.
  • Hospital contract modeling experience and professional fee schedule modeling required.
  • Proficiency in contracting analytics using reimbursement data to inform decisions.
  • Strong written and verbal communication and project management skills.

Responsibilities

  • Translate contract language into expected reimbursement and build flexible models.
  • Serve as expert resource on hospital and professional reimbursement methodologies.
  • Lead relationships with data vendors and disseminate updates and functionality improvements.
  • Analyze contracts and historical reimbursements to inform strategy and shape proposals.
  • Validate payer rate loads and perform root-cause analysis of variances.
  • Monitor payer policy updates and quantify impact of contract implications.
  • Support ad-hoc projects and update internal tracking systems.

Skills

Analytical reasoning
Attention to detail
Communication skills
Project management
Data analysis

Education

Bachelor’s Degree Finance, Healthcare Administration, Business or related field

Tools

Microsoft Excel
PowerPoint
Contract Modeling tools
Price transparency databases

Job description

Tribunus Health LLC in the United States is seeking a Payer Contract Analyst to translate contract language into reimbursement models and support managed care negotiations.

The role requires hospital contract modeling experience, advanced Excel and PowerPoint skills, and the ability to analyze data to drive payer strategies. Remote-friendly role with potential for flexible part-time arrangements.

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