Senior Payer Contracting & Analytics Lead

Nicklaus Children's; Miami (FL); On-site; USD 90,000 - 130,000; Full time

Job summary

Nicklaus Children's is searching for a Sr Analyst Payer Contracting to perform complex financial analytics for Medicaid, value-based care, and managed care initiatives. Develops models used in negotiations with Vice Presidents and multi-disciplinary teams to optimize reimbursement.

The role emphasizes advanced Excel modeling, BI reporting, and payer contracting system experience, collaborating with finance, contracts, and care delivery to drive revenue projections and strategic insights.

Qualifications

• Bachelor's degree in business, healthcare administration, finance or related field.
• 4–7 years of experience in Medicaid, managed care contracting, payer analytics, strategic planning, and financial analysis.

Responsibilities

• Performs analytics on Medicaid and Value Based contract proposals and advises on financial impact.
• Supports contract negotiations with financial analysis tied to reimbursement implications.
• Creates automated reporting for Medicaid, Managed Care and Value Based programs.
• Develops annual managed care net revenue budget package.
• Works with cross-functional teams to ensure proper rate loads and accurate payment calculations.

Skills

Advanced Excel

Financial analysis

Data visualization

Problem solving

Communication skills

Attention to detail

Education

Bachelor's Degree in Business Administration, Healthcare Administration, Finance or related field

Master's degree in Business, Healthcare Administration, or related field

Tools

FinThrive

EPIC

Turquoise price transparency tool

Business Intelligence systems

Job description

Nicklaus Children's is searching for a Sr Analyst Payer Contracting to perform complex financial analytics for Medicaid, value-based care, and managed care initiatives. Develops models used in negotiations with Vice Presidents and multi-disciplinary teams to optimize reimbursement.

The role emphasizes advanced Excel modeling, BI reporting, and payer contracting system experience, collaborating with finance, contracts, and care delivery to drive revenue projections and strategic insights.