Remote Senior Payer Analytics Consultant

Summary

The job is for a Senior Payer Analytics Consultant in the Payment Strategy team at Central California Alliance for Health (the Alliance). The role involves financial modeling, analysis, collaboration with stakeholders, and mentoring subordinates. It is a fully remote position within California.

Requirements

• Knowledge of methods and techniques of financial analysis
• Knowledge of Windows based PC systems and Microsoft Word, Outlook, PowerPoint, Access, Visual Basic, and Excel (including pivot tables), and database systems
• Knowledge of principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providers
• Knowledge of the various types of health insurance payers, including Medicare, Medicaid, and commercial plans
• Knowledge of healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical, and provider types

Responsibilities

• Performing complex managed care payer financial modeling and analysis to evaluate the feasibility of payer reimbursement methodologies
• Conducting complex financial analysis to support successful payer reimbursement outcomes
• Coordinating and collaborating with internal and external stakeholders to achieve payer reimbursement objectives
• Providing subject matter expertise and assisting with providing orientation, mentoring, and training to subordinate Payer Analytics Consultants

Benefits

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations