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

• Monitor payer policy bulletins and reimbursement changes.
• Track industry and market trends.
• Benchmark contract performance against market standards.

• Perform reimbursement and contract impact analyses.
• Develop negotiation support materials.
• Model proposed payment methodologies.

• Produce regular contract performance reports and dashboards.
• Support dashboards for payer and value-based initiatives.
• Analyze payer trends.

• Support contract negotiations and payer strategy development.
• Conduct competitive analyses.
• Identify opportunities for revenue optimization and risk reduction.

• 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.