Senior Manager, Payer Contract Analytics

4 weeks ago

Westlake, United States Sound Physicians Full time

About Sound:

Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape with patients at the center of the universe. 

Position Summary

The Senior Manager of Payer Contract Analytics and Strategy is a pivotal role within Sound Physicians, focused on leveraging data analytics to drive strategic decision making in all aspects of payer contracting, including providing analytical support to contract negotiations, contract strategy development and quantifying financial impact to the organization.

Essential Duties and Responsibilities

Contract Negotiation Support : Offer analytical expertise and strategic guidance to support payer contract negotiations, utilizing insights derived from data analysis. Contract Strategy Development: Provide analytical support to cross-functional teams in developing and refining strategic approaches to payer contracting. Data Analysis and Insights : Conduct comprehensive analysis of healthcare data, including billing data, fee schedules, financial reports, and market trends, to generate actionable insights and recommendations for all aspects of payer contracting. Reporting and Presentation : Prepare and present detailed reports and presentations for senior leadership, synthesizing complex analytical findings into clear and actional insights to inform strategic decision making and drive organizational growth.  Continuous Improvement : Drive continuous improvement in contracting processes and analytics capabilities through the integration of technology, best practices, and innovation, aiming to enhance efficiency, accuracy, and strategic alignment.

Special Knowledge, Skills, Abilities, Training or Special Licenses/Certifications Needed to Perform Job

Strong analytical and quantitative skills with a proven ability to interpret and leverage complex data to drive strategy and decision making. Experience reading and synthesizing complex contracts. Creative and persistent problem solving while maintaining attention to detail and accuracy. Strong communication skills and ability to simplify complex analytical findings into clear and actional insights. Ability to manage multiple tasks simultaneously, meet time sensitive deadlines and organize workload with limited supervision. Knowledge of healthcare regulations, reimbursement mechanisms, and the financial drivers within the healthcare sector.

Education

Minimum: Bachelor's degree in Business, Finance, Statistics, Health Administration, or a related field.

Experience

Minimum 4-7 years of experience in payer contracting, healthcare analytics, finance or a similar role within the healthcare industry.

List Special Job or Environmental Conditions

Indoor office environment Limited travel required 100% Remote

Other Physical and/or Special Requirements about this job :

Sitting at a desk up to eight hours (with breaks) Working on computer for up to eight hours (with breaks)

This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.

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