Senior Health Insurance Payer Contract Modeling & Benchmark Analyst (1099)

Freddie Mac; Baltimore (MD); Remote; USD 100,000 - 150,000; Full time

Job summary

A leading healthcare consulting firm is seeking an experienced professional for a contract modeling role. This position offers the opportunity to work remotely and engage in significant projects focused on transitioning payer contracts to value-based reimbursement. Candidates will analyze data, build financial models, and collaborate with teams to drive sustainable hospital contracts. The ideal candidate will have extensive experience in healthcare analytics and contract modeling.

Qualifications

• 7+ years of experience in healthcare contract modeling or financial analytics.
• Proven experience supporting complex payer-provider contract transitions.
• Proficiency with modeling and financial scenario analysis.

Responsibilities

• Analyze claims and reimbursement data to develop pricing benchmarks.
• Build strategic financial models to simulate contract scenarios.
• Collaborate with contracting teams to align modeling outputs.

Skills

Healthcare contract modeling

Financial analytics

Data-driven decision-making

Excellent communication

Job description

Employer Industry: Healthcare Consulting

Why consider this job opportunity:
- Competitive pay for contract work
- Opportunity to work remotely from anywhere in the United States
- Engage in a significant project transitioning payer contracts to value-based reimbursement
- Collaborate with a leading firm in healthcare provider network development
- Chance to influence sustainable and equitable hospital contracts

What to Expect (Job Responsibilities):
- Analyze claims and reimbursement data to develop pricing benchmarks aligned with evolving reimbursement methodologies
- Build strategic financial models to simulate contract scenarios under varying payment structures
- Collaborate with contracting teams to align modeling outputs with negotiation strategy
- Identify and quantify cost-saving opportunities and support scenario-based decision-making
- Provide clear summaries and presentation-ready deliverables for internal and partner review

What is Required (Qualifications):
- 7+ years of experience in healthcare contract modeling or financial analytics
- Proven experience supporting complex payer-provider contract transitions
- Proficiency with modeling and financial scenario analysis
- Familiarity with DRG, APC, bundled payment, and value-based reimbursement methodologies
- Excellent communication skills and ability to manage ambiguity

How to Stand Out (Preferred Qualifications):
- Experience with value-based reimbursement frameworks and state-regulated pricing models
- Ability to work independently and manage multiple projects simultaneously
- Strong analytical skills with a focus on data-driven decision-making

#HealthcareConsulting #ContractModeling #ValueBasedCare #RemoteWork #HealthcareAnalytics

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.