Senior Data Payer Contracting Analyst

HCA Healthcare, Inc.; Nashville (TN); Hybrid; USD 95,000 - 130,000; Full time

Job summary

HCA Healthcare is seeking a Senior Data Analyst for Payer Contracting & Analytics in Nashville. You will analyze payer data, develop dashboards, and support negotiations to optimize reimbursement and contract performance.

The role requires 5+ years in healthcare analytics or related areas, strong SQL Server and BI skills, and excellent communication. This is a hybrid position based in Nashville, TN, with opportunities to influence enterprise payer strategy.

Qualifications

• Bachelor's degree required in a relevant field.
• 5+ years of healthcare analytics, managed care, or payer contracting experience.
• Experience with healthcare claims, reimbursement data, and revenue cycle.
• Advanced experience with SQL Server and BI reporting solutions.
• Hybrid role based in Nashville, TN.

Responsibilities

• Analyze payer contract, reimbursement, claims, and financial data to identify trends and opportunities.
• Develop dashboards, scorecards, and KPIs related to payer performance and revenue cycle outcomes.
• Support payer contract negotiations via financial modeling and scenario analysis.
• Collaborate with Managed Care, Revenue Cycle, Finance and operations to define metrics.
• Monitor effectiveness of contracts and recommend improvements.
• Perform data quality checks and assess data from multiple systems.
• Document data sources, business rules, and data lineage for reporting.
• Present findings to leaders to inform payer contracting decisions.

Skills

SQL Server

Data warehousing

Business intelligence

Healthcare analytics

Communication skills

Education

Bachelor's degree

Tools

SQL Server

BI tools

Job description

This is OUR story... and YOUR next chapter

At HCA Healthcare, our Digital Transformation and Innovation (DT&I) team is redefining what's possible inpatient care. By leveraging the power of artificial intelligence, automation, and digital technologies, DT&I is helping drive meaningful improvements in clinical outcomes, reduce manual workload, and expand the reach of our care teams. If you're passionate about using technology to improve human life, this is where your work truly matters

What you will accomplish in this role

The Senior Data Analyst - Payer Contracting & Analytics is responsible for analyzing payer contract, reimbursement, claims, and financial performance data to support managed care and payer contracting initiatives across the organization. This role partners closely with Managed Care, Revenue Cycle, Finance, and Operational leaders to develop actionable insights that support contract negotiations, reimbursement optimization, payer performance monitoring, and strategic decision-making.

The successful candidate will leverage healthcare claims, reimbursement, contractual, and operational data to identify trends, opportunities, and risks related to payer agreements. This individual will develop metrics and reporting solutions that measure contract performance, evaluate reimbursement outcomes, and support financial forecasting initiatives. The role serves as a subject matter expert on payer-related data within HCA Healthcare Intelligence Net (HIN) and helps ensure data quality, integrity, and standardization across reporting platforms.

Success in this role requires a strong understanding of healthcare reimbursement methodologies, payer contracts, managed care operations, healthcare financial analytics, and the ability to translate complex data into meaningful business insights. The ideal candidate will possess a combination of strong analytical capabilities, technical expertise, and exceptional communication skills.

Major Responsibilities

• Analyze payer contract, reimbursement, claims, and financial performance data to identify trends, opportunities, and areas for revenue optimization.
• Develop and maintain dashboards, scorecards, and key performance indicators (KPIs) related to payer performance, reimbursement rates, contract compliance, and revenue cycle outcomes.
• Support payer contract negotiations through financial modeling, contract valuation analysis, reimbursement benchmarking, and scenario modeling.
• Collaborate with Managed Care, Revenue Cycle, Finance, and operational stakeholders to define reporting requirements and performance metrics.
• Monitor payer contract effectiveness and provide recommendations to improve reimbursement performance and contract strategy.
• Perform detailed analyses of denial trends, underpayments, payer mix, utilization patterns, and reimbursement variances.
• Coordinate data requirements from business partners and assess the usefulness, reliability, and quality of data from multiple healthcare systems.
• Develop and maintain documentation related to payer data sources, business rules, data lineage, and reporting methodologies.
• Ensure payer and reimbursement data is presented accurately within business intelligence solutions and enterprise reporting tools.
• Work with source system teams to understand data intent, contract configuration, reimbursement methodologies, and data integration requirements.
• Support data quality initiatives by identifying data discrepancies and developing solutions to improve accuracy and standardization.
• Participate in data modeling discussions, reporting design reviews, and testing of analytic solutions.
• Perform advanced data profiling and validation to ensure data integrity across payer-related reporting environments.
• Present findings and recommendations to business leaders, supporting strategic decisions related to payer contracting and managed care initiatives.
• Strong analytical and technical skills with the ability to assess financial impacts, identify risks, and recommend practical solutions.

Education & Experience

• Bachelor's degree required.
• 5+ years of healthcare analytics, managed care, payer contracting, reimbursement, revenue cycle, or related analytical experience required.
• 5+ years of experience working with healthcare claims, reimbursement, contract management, or financial data required.
• Experience supporting payer contract negotiations, reimbursement analysis, contract modeling, or managed care strategy preferred.
• Advanced experience with SQL Server, data warehousing, business intelligence tools, and healthcare reporting solutions preferred.
• Strong understanding of healthcare reimbursement methodologies including DRG, APC, fee-for-service, value-based care, and managed care payment models preferred.
• This is a hybrid role based in Nashville, TN.

At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime.

We are an equal opportunity employer.

We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.