Strategic Payer Analytics & Economics Analyst

CommonSpirit Health; Illinois; Vor Ort; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

CommonSpirit Health is seeking a Payer Analytics and Economics Analyst to leverage data-driven insights to optimize payer relationships, contract performance, and overall financial health.

Daily responsibilities include analyzing payer contracts, claims data, and market trends to identify opportunities for revenue enhancement, cost reduction, and improved contract terms. Strong analytical, quantitative, and financial modeling skills are required.

Qualifikationen

• Bachelor’s in business, accounting, finance, healthcare or related field (or equivalent).
• 1 year of financial healthcare reimbursement analysis experience.
• Experience delivering data-driven analyses to support contract profitability and planning.

Aufgaben

• Analyze payer contracts, claims data and market trends to identify revenue opportunities.
• Monitor contract financial performance and profitability; interpret contract terms and payer policies.
• Develop financial models and payer performance analyses to evaluate strategies and outcomes.
• Provide training on modeling proposed/existing negotiated contracts including revenues and volumes.
• Act as liaison between CommonSpirit Health and payer to update reimbursement information and changes.
• Prepare service line reimbursement analyses and explore implications of new rate structures.
• Access internal and external data sources to support analyses and recommendations.

Kenntnisse

Financial analysis

Data modeling

Healthcare reimbursement

Ausbildung

Bachelor's degree in Business/Finance/Healthcare

Tools

PIC/STAR/EPIC data systems

Jobbeschreibung

CommonSpirit Health is seeking a Payer Analytics and Economics Analyst to leverage data-driven insights to optimize payer relationships, contract performance, and overall financial health.

Daily responsibilities include analyzing payer contracts, claims data, and market trends to identify opportunities for revenue enhancement, cost reduction, and improved contract terms. Strong analytical, quantitative, and financial modeling skills are required.