Senior Payer Strategy & Analytics (Remote)

Ladders; United States; Remote; USD 104,000 - 192,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Health savings accounts (HSA) and FSA

401(k) with employer contributions

Paid time off including vacation, sick

Paid parental leave and family support

Disability insurance

Life and AD&D insurance

Employee assistance programs

Job summary

Ladders is seeking a Senior Payer Strategy & Analytics professional to partner on payer contracting and revenue cycle strategy for a healthcare provider environment. You will build financial models, evaluate reimbursement scenarios, and translate arbitration/litigation outcomes into actionable insights to support negotiation strategy and revenue performance.

The role focuses on shaping out-of-network reimbursement approaches and strengthening decision-making through data-driven analysis, with a

Qualifications

• Bachelor's degree in Business, Finance/Accounting, Economics, Health Policy, Informatics, or a related field; MBA preferred.
• 5+ years of reporting, analytics, and business operations experience in a healthcare or provider environment.
• 2+ years of direct experience in payor contracting analytics or out-of-network reimbursement.
• 2-3 years of leadership experience.
• Strong understanding of the No Surprises Act and state arbitration frameworks.

Responsibilities

• Serve as the analytical partner for payer contracting and revenue cycle strategies
• Build financial models to support payer negotiations and quantify the impact of reimbursement scenarios
• Ensure revenue recognition aligns with IDR, arbitration, and litigation outcomes
• Own analytics for out-of-network reimbursement through the No Surprises Act IDR process
• Analyze CMS IDR Public Use Files to benchmark rates and outcomes by payor and service
• Evaluate IDRE selection patterns and recommend strategies for disputes
• Develop offer and rate strategies for IDR and arbitration submissions

Skills

Payer contracting analytics

Out-of-network reimbursement

Leadership

Healthcare analytics

Financial modeling

Education

Bachelor's degree in Business, Finance/Accounting, Economics, Health Policy, Informatics, or a related field; MBA preferred

Job description

Ladders is seeking a Senior Payer Strategy & Analytics professional to partner on payer contracting and revenue cycle strategy for a healthcare provider environment. You will build financial models, evaluate reimbursement scenarios, and translate arbitration/litigation outcomes into actionable insights to support negotiation strategy and revenue performance.

The role focuses on shaping out-of-network reimbursement approaches and strengthening decision-making through data-driven analysis, with a