3h ago

Payer Strategy Specialist

Nashville, TN
full-timejuniorHealthcare

Tech Stack

Description

You will oversee benefits verification, analyze payer data and trends, support market access strategies, and prepare reports for senior leadership to improve access to behavioral health treatment.

Requirements

  • 1-3 years healthcare experience in payer strategy, market access, or similar role
  • Strong understanding of payer dynamics, reimbursement, and market access
  • Proficient in data analysis and reporting, synthesizing complex information into insights
  • Knowledge of government programs like Medicaid and commercial payer structures
  • Proficiency in Microsoft Office Suite; data analysis tools or CRM a plus

Responsibilities

  • Collect and analyze payer data including policies, reimbursement trends, and formulary status
  • Monitor payer trends and health policy changes to predict impacts on product access
  • Support development of market access strategies with cross-functional teams
  • Prepare reports and presentations on payer insights and market dynamics for senior leadership
  • Track and analyze payer performance metrics to measure strategy effectiveness
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