Payer Analytics Specialist

7 days ago


Myrtle Point, Oregon, United States SCA Health Full time
Payer Analytics AnalystOverview

SCA Health is a dynamic organization that delivers high-quality patient care through a network of physician specialists. As a Payer Analytics Analyst, you will play a critical role in supporting our business development efforts by analyzing data and providing actionable insights to inform strategic decisions.

Responsibilities

* Partner with contract negotiators to identify key variables and develop analytical models that inform negotiation strategies
* Collaborate with regional business development leaders to evaluate potential acquisitions and assess market opportunities
* Support cross-functional teams in developing and maintaining operational reports and analytical dashboards
* Design and implement improvements to reimbursement process flows to maximize revenue potential
* Develop quality control processes to ensure data integrity and accuracy
* Assist in building the Managed Care budget for future years
* Review facility charge masters and ensure accurate payment
* Present findings and insights to stakeholders and contribute to business discussions
* Uphold and practice the principles and policies of the SCA Compliance program

Qualifications

* Bachelor's degree in Business Administration, Finance, Accounting, or related field
* Minimum of 2 years of experience in Healthcare or related field
* Proficient in Excel and experience with SQL and Tableau a plus
* Acute attention to detail and strong analytical and critical thinking skills
* Strong written and verbal communication skills to communicate results to various stakeholders

USD $55,000.00/Yr. USD $70,000.00/Yr.

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