Remote Policy Research & Cost-Savings Analyst

Sentara Health; Clayton (NC); On-site; USD 106,000 - 163,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Holidays

Educational assistance

Job summary

Sentara Health in Virginia Beach, VA seeks a Payment Policy Research Analyst & Technical Writer to identify, develop and present new cost-saving opportunities within Sentara Health Plan. The role emphasizes data-driven analysis, cross-functional collaboration, and policy development to improve reimbursement strategies.

The position requires a CPC certification within six months, 3 years in health plans or medical coding, and strong Excel/PowerPoint/Outlook skills.

Qualifications

• High School Diploma or equivalent is required.
• Bachelor level degree in a health care or medical field is preferred.
• CPC Certification required within first 6 months of hire.
• 3 years health plan experience or 3 years medical coding is required.

Responsibilities

• Research and assess internal payment policies and solutions to identify new cost savings opportunities.
• Determine potential strategies or solutions to achieve identified cost savings (policy development, criteria, contracts, claims editing).
• Participate in analytical and factual research to support opportunity development.

Education

High School Diploma or equivalent (Required)

Bachelor Level Degree (Preferred)

Tools

Excel

PowerPoint

Outlook

Job description

Sentara Health in Virginia Beach, VA seeks a Payment Policy Research Analyst & Technical Writer to identify, develop and present new cost-saving opportunities within Sentara Health Plan. The role emphasizes data-driven analysis, cross-functional collaboration, and policy development to improve reimbursement strategies.

The position requires a CPC certification within six months, 3 years in health plans or medical coding, and strong Excel/PowerPoint/Outlook skills.