Payer Performance Analyst

Job Summary

The PMI Analyst plays a critical role in helping hospitals understand how their payers are actually performing – and what to do about it. This role focuses on analyzing payer behavior, reimbursement performance, and trends to surface clear, actionable insights that directly impact hospital financial outcomes. The ideal candidate is analytically strong, naturally curious, and comfortable translating complex data into meaningful stories for both internal teams and hospital stakeholders.

This role sits at the intersection of data, strategy, and client impact.

• Analyze payer performance, reimbursement trends, and variances across hospital client portfolios
• Identify root causes behind performance outcomes and surface actionable insights – not just results
• Support benchmarking, audits, and payer strategy discussions using data-driven analysis
• Build and maintain reports, dashboards, and performance summaries to support internal and client-facing discussions
• Partner closely with internal teams (PMI< advisory, analytics) to ensure the insights align with broader payer management strategy
• Communicate findings clearly to non-technical audiences, including hospital stakeholders and internal leadership
• Contribute to the development and refinement of PMI methodologies, frameworks, and best practices as the function scales

• Bachelor's degree in a relevant field (e.g., Business, Finance, Healthcare Administration, Analytics, Economics, or similar) or equivalent practical experience
• 2-5 years of experience in healthcare analytics, revenue cycle, managed care, payer analysis, or a related analytical role
• Demonstrated experience analyzing performance data, trends and variances, and translating findings into clear insights
• Strong critical-thinking skills with the ability to identify root causes and ask "why", not just report results
• Comfortable explaining analytical findings to non-technical audiences, including internal partners and external stakeholders
• High attention to detail with a strong emphasis on data accuracy and integrity
• Ability to manage multiple priorities in a fast-paced, evolving environment

• Bachelor's degree in business administration, economics, healthcare administration, or STEM
• Experience working with hospitals, health systems, or payer data
• Exposure to reimbursement, managed care contracting, or payer performance analysis
• Experience with dashboards, reporting tools, or benchmarking
• Advanced Excel skills; familiarity with BI or analytics tools

• Produce accurate, timely PMI analysis that clearly identifies payer trends, variances, and root causes
• Deliver actionable insights that connect payer performance to reimbursement and financial outcomes
• Communicate findings clearly to internal teams and hospital stakeholders, explaining the "why" behind results
• Strengthen the PMI function by contributing to scalable, repeatable reporting and analysis practices