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Sr Payer Policy Analyst - (remote)

Talentify.io

United States

Remote

USD 70,000 - 100,000

Full time

Today
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Job summary

A leading company in Healthcare Services seeks a Senior Policy Analyst to assist in policy development and advocate for healthcare regulations. The role includes monitoring payer policy, liaising with directors, and developing strategic responses to legislative issues. Ideal candidates have a Bachelor's degree and extensive experience in health policy.

Benefits

Comprehensive benefits including Medical, Dental, and 401(k)
Paid Time Off
Tuition Reimbursement
Opportunities for career advancement

Qualifications

  • 5 years of work experience required or 7 years without degree.
  • Strong understanding of healthcare revenue cycle.
  • Exceptional communication skills for advocacy.

Responsibilities

  • Assist in the development and implementation of policy strategies.
  • Monitor payer policy updates affecting revenue.
  • Serve as liaison regarding policy issues.

Skills

Understanding of insurance guidelines
Communication skills
Ability to evaluate legislation

Education

Bachelor’s degree

Job description

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  • Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
  • Opportunity for career advancement and growth within the organization
  • Supportive and work environment
  • Engaging work that impacts healthcare policy and the industry

Employer Industry: Healthcare Services

Why Consider This Job Opportunity

  • Salary up to $100K
  • Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
  • Opportunity for career advancement and growth within the organization
  • Supportive and work environment
  • Engaging work that impacts healthcare policy and the industry

What To Expect (Job Responsibilities)

  • Assist in the development and implementation of policy strategies supporting the employer and the industry
  • Monitor payer policy updates and changes affecting revenue
  • Serve as a liaison between Medical Directors and Payer Medical Directors regarding policy issues
  • Advocate for company positions on regulatory proposals and public policy
  • Develop responses and strategies on key issues at state and federal levels

What Is Required (Qualifications)

  • Bachelor’s degree from an accredited four-year institution and 5 years of work experience required (or minimum 7 years work experience if no degree)
  • Strong understanding of insurance guidelines and payer policy
  • Experience with healthcare revenue cycle including prior authorization, coding, claims, and billing compliance
  • Ability to evaluate -related state legislation and engage with subject matter experts
  • Exceptional communication skills for advocacy and reporting

How To Stand Out (Preferred Qualifications)

  • Advanced degree (MBA, JD, M.A./M.S., CGC, RN)
  • Prior experience in Genetic Counseling
  • Familiarity with clinical practice guidelines from national organizations
  • Experience working with state and federal agencies and commercial insurance payers
  • Previous work in case reviews for medical necessity

#HealthcareServices #PayerPolicy #CareerOpportunity #CompetitivePay #HealthCareAdvocacy

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Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Analyst
  • Industries
    Staffing and Recruiting

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