Senior Payor Relations & Reimbursement Analyst

Trov; United States; Remote; USD 75,000 - 120,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k)

Paid Time Off (PTO) + Holidays

Company-Paid Life Insurance

Short-Term Disability Insurance

Employee Assistance Program (EAP)

Job summary

Metro Vein Centers seeks a finance/analytics professional to turn contracts, fee schedules, and high-volume claims into financial insights. You’ll model reimbursement, quantify rate changes, identify underpayments, and provide leadership with data-driven recommendations across nine states.

You will build scalable financial models, analyze payer contracts, and support cross-functional teams in a fast-paced, growth-oriented environment.

Qualifications

• Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, Business Analytics, Health Information Management, or related field, or equivalent experience.
• 3–5+ years of progressive healthcare financial analysis experience in provider reimbursement, payor relations, managed care, revenue cycle analysis, or healthcare analytics.
• Healthcare experience is required.

Responsibilities

• Financial analysis & modeling: build models forecasting revenue impact of rate changes, fee schedules, and alternative payment models.
• Rate proposal analysis: evaluate proposed rates from payors using utilization and claims data to project net revenue by market and payor.
• Reimbursement methodology analysis: analyze contracts and methods across commercial, Medicare Advantage, and Managed Medicaid.
• Executive support: synthesize high-volume claims data and payment metrics into dashboards and analyses for leadership.

Skills

Analytical thinking

Communication

Problem solving

Education

Bachelor's degree in Finance/Accounting/ Economics/ Healthcare Administration/ Business Analytics

Tools

SQL

Power BI

Tableau

Excel (Advanced)

Availity

CAQH

Job description

Metro Vein Centers seeks a finance/analytics professional to turn contracts, fee schedules, and high-volume claims into financial insights. You’ll model reimbursement, quantify rate changes, identify underpayments, and provide leadership with data-driven recommendations across nine states.

You will build scalable financial models, analyze payer contracts, and support cross-functional teams in a fast-paced, growth-oriented environment.