Remote Payer Payment & Reimbursement Analyst

Signature Performance; Portland (OR); Remote; USD 89,100 - 108,900; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabil

Paid Vacation

Paid Sick Leave

Paid Holidays

Professional Development and Tuition

401(k) Program with Employer Match

Job summary

Signature Performance is seeking a Payer Payment and Reimbursement Analyst for a remote, nationwide position. You will configure and maintain payment, pricing, and contract logic within healthcare reimbursement systems to ensure accurate claims adjudication while translating policy updates into clear business requirements.

Responsibilities include analyzing regulatory updates and large data sets, identifying trends, collaborating with Developers, QA, Data, and Client Services, and developing

Qualifications

• 3-4 years of professional experience in healthcare provider payment and reimbursement.
• Ability to interpret Medicare/CHAMPVA/TRICARE policies.
• Strong analytical and problem-solving skills.

Responsibilities

• Configure and maintain payment, pricing, and contract logic within reimbursement systems.
• Analyze regulatory updates and system changes to assess impact.
• Review large healthcare data sets to identify trends and required changes.
• Translate reimbursement policy updates into clear business requirements for software.
• Develop Excel models to validate payment methodologies.
• Collaborate with Developers, QA, Data, and Client Services to implement solutions.
• Create and execute test claims for development and QA.
• Maintain knowledge of products, data, and reimbursement features.

Skills

Healthcare reimbursement knowledge

Data analysis

Excel modeling

SQL reporting

Stakeholder collaboration

Tools

TriZetto Facets NetworX

Optum Rate Manager

Job description

Signature Performance is seeking a Payer Payment and Reimbursement Analyst for a remote, nationwide position. You will configure and maintain payment, pricing, and contract logic within healthcare reimbursement systems to ensure accurate claims adjudication while translating policy updates into clear business requirements.

Responsibilities include analyzing regulatory updates and large data sets, identifying trends, collaborating with Developers, QA, Data, and Client Services, and developing