Remote Payment Policy Research Analyst & Technical Writer

Sentara Health

Central City (NE)

Remote

USD 106,000 - 163,000

Full time

7 days ago
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Benefits offered by this job

Discretionary bonus
Medical Insurance
Paid Time Off

Job summary

Sentara Health is seeking a Payment Policy Research Analyst & Technical Writer to identify, develop and present cost-saving opportunities in healthcare policy for Sentara Health Plan. The role involves data-informed assessment and collaboration with internal and external stakeholders to deliver enhanced payment initiatives and policy development.

The candidate will have experience with health plan policies, data analysis, and technical writing, and may work remotely with opportunities across

Qualifications

  • High School Diploma or equivalent (Required)
  • Bachelor Level Degree (Preferred)
  • 3 years Health plan experience or 3 years Medical coding, required
  • 3 years Health plan claim auditing or appeals, preferred
  • BS/BA/Advanced degree in health care or medical field preferred

Responsibilities

  • Research & assessment of internal payment policies & payment solutions in relation to competitors & industry standards to identify new cost savings opportunities
  • Determine potential strategies &/or solutions to achieve identified cost savings such as policy development or enhancement, authorization criteria & process, contract strategy, claims editing & more
  • Establish strong relationships with internal & external stakeholders to define, align & deliver payment initiatives & new/enhanced policy development in support of health plan goals

Skills

Data analysis
Pivot tables
Statistical methods
Professional & institutional writing

Education

High school diploma
Bachelor's degree
Healthcare degree

Tools

Excel
PowerPoint
Outlook

Job description

Sentara Health is seeking a Payment Policy Research Analyst & Technical Writer to identify, develop and present cost-saving opportunities in healthcare policy for Sentara Health Plan. The role involves data-informed assessment and collaboration with internal and external stakeholders to deliver enhanced payment initiatives and policy development.

The candidate will have experience with health plan policies, data analysis, and technical writing, and may work remotely with opportunities across

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