Note: The job is a remote job and is open to candidates in USA. Medasource is a healthcare consulting company seeking a Senior Payer Strategy Analyst to play a pivotal role in modeling reimbursement rates and analyzing payer performance. The analyst will provide financial insights that influence contract negotiations and revenue optimization, serving as a key advisor to leadership and managing multiple projects independently.
Responsibilities
• Model reimbursement rates and analyze payer performance to inform contract negotiations and revenue optimization
• Prepare detailed financial models and reports to support payer negotiations and strategic conversations
• Deliver data-driven insights and recommendations to leadership for payer strategy and financial planning
• Extract, analyze, and report data using advanced Excel, SQL, and Epic systems
• Manage multiple report requests via Smartsheet work queue, ensuring timely and accurate delivery (typical turnaround: 1-3 weeks per project)
• Attend and contribute to weekly negotiation meetings with payers and contract negotiators
• Independently handle projects, prioritize workload, and meet turnaround expectations with strong time management
• Collaborate with team members and adapt to shifting assignments based on workload; analysts are assigned to specific payers but may interchange as needed
• Apply deep knowledge of hospital and physician reimbursement methodologies, including Medicare distinctions
• Conduct root cause analysis and apply critical thinking to resolve complex issues
• Develop Power BI dashboards (preferred) and leverage SQL reporting in Epic (strong plus)
• Read and interpret Explanation of Benefits (EOBs) to inform analysis and reporting
Skills
• Advanced Excel proficiency, including pivot tables, VLOOKUP, graphs, and complex modeling
• SQL programming skills and experience extracting data from Epic
• Epic certification (models in Epic + Excel preferred); double certification in hospital and physician reimbursement contracts required within 90 days of hire
• Experience with Epic required
• Ability to read and understand EOBs (Explanation of Benefits)
• Strong time management and independent project handling skills
• Critical thinking skills and experience with root cause analysis
• Deep understanding of hospital and physician reimbursement, including Medicare distinctions
• PB (Professional Billing) and HB (Hospital Billing) certification (must have or obtain within 90 days of being hired)
• Develop Power BI dashboards (preferred) and leverage SQL reporting in Epic (strong plus)
• Power BI dashboard development preferred but not required
• SQL reporting in Epic is a strong plus
Company Overview
• Medasource is a hospital & health care company specializing in population health management and clinical engineering services. It was founded in 2000, and is headquartered in Indianapolis, Indiana, USA, with a workforce of 501-1000 employees. Its website is http://medasource.com.
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