Payer Policy and Strategy Analyst

Provides analytical support for managed care contracting and value-based payment strategy. Monitors payer policies, reimbursement trends, market developments, and contract performance to support decision-making.

Reports To: Payer Contracting, Policy & Regulatory Counsel

Key Responsibilities

Market Intelligence

· Monitor payer policy bulletins and reimbursement changes.

· Track industry and market trends.

· Benchmark contract performance against market standards.

Analytics

· Perform reimbursement and contract impact analyses.

· Develop negotiation support materials.

· Model proposed payment methodologies.

Reporting

· Produce regular contract performance reports and dashboards.

· Support dashboards for payer and value-based initiatives.

· Analyze payer trends.

Strategic Support

· Support contract negotiations and payer strategy development.

· Conduct competitive analyses.

· Identify opportunities for revenue optimization and risk reduction.

Qualifications

· Bachelor's degree in Finance, Healthcare Administration, Economics, or related field.

· 3-5 years healthcare analytics experience.

· Strong Excel, financial modeling, and data visualization skills.

· Understanding of managed care reimbursement and value-based payment models.