3h ago
Payer Analytics Consultant (Temporary)
California, USA
contractmid HybridHealth Insurance
Tech Stack
Description
You will design and validate managed care payer models, conduct financial analysis to evaluate reimbursement methodologies, and collaborate with internal and external stakeholders to achieve payer reimbursement objectives. This role supports the Payment Strategy team in ensuring adequate payments and advancing payment methodologies for quality healthcare.
Requirements
- Proven experience in payer financial modeling
- Knowledge of provider payment methodologies
- Proficiency in Excel (pivot tables) and database systems
- Strong analytical and detail-oriented skills
- Clear communication of complex financial concepts
Responsibilities
- Design and validate managed care payer models
- Conduct moderately complex financial analysis for payer reimbursement
- Evaluate feasibility of reimbursement methodologies
- Coordinate with internal and external stakeholders
- Support payment structure design and strategy
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