3h ago
Payer Analytics Consultant (Temporary)
Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California; Remote, California
contractmid HybridHealth Insurance
Tech Stack
Description
In this temporary role, you will design and validate managed care payer models and conduct financial analysis to evaluate reimbursement methodologies. You'll collaborate with internal and external stakeholders to achieve payer reimbursement objectives, supporting the team's mission to ensure payments are adequate and drive quality healthcare.
Requirements
- Proven experience in payer financial modeling and provider payment methodologies
- Skilled in data interpretation, trend analysis, and scenario modeling
- Ability to work across departments including finance, provider network management, operations, and clinical teams
- Clear communication of complex financial concepts to technical and non-technical audiences
- Knowledge of Windows, Microsoft Office (Excel, Access, pivot tables), and database systems
Responsibilities
- Design and validate managed care payer models
- Perform moderately complex financial analysis to evaluate payer reimbursement feasibility
- Conduct financial analysis to support successful payer reimbursement outcomes
- Coordinate and collaborate with internal and external stakeholders
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