Director – Payer Strategy & Contracting Analytics jobs in United States
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Hospital for Special Surgery · 3 weeks ago

Director – Payer Strategy & Contracting Analytics

Hospital for Special Surgery is the world’s leading academic medical center focused on musculoskeletal care. In this role, the Director will support the Payer Strategy & Contracting function by translating business priorities into data-driven solutions and driving automation for reporting, analytics, and insights.

Health CareMedical
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Work closely with the Contracting team to provide analytical support for all contracting efforts, including payer contracting, bundled payment contracting, pay-for-performance contracting, and other emerging reimbursement methodologies
Create and maintain models and data products to evaluate the financial success and impact of new contracts, opportunities, and policy changes, building automated processes that can be reused and scaled across multiple contracts and scenarios
Partner with the Payer Strategy & Contracting team to drive automation – design and manage automated reporting solutions, transitioning existing manual processes into scalable, repeatable workflows within the enterprise data lakehouse
Collaborate across the Data & Analytics team to align payer strategy data needs with the broader enterprise data strategy
Serve as a subject matter expert in payer strategy analytics, acting as the primary liaison between the Payer Strategy & Contracting team and the Data & Analytics organization
Mentor junior analysts, building technical and analytical capabilities while fostering knowledge of payer strategy and contracting

Qualification

Payer contracting experienceReimbursement methodologiesSQL proficiencyData Science degreeFinancial modelingMentoring analystsCommunication skillsCross-functional collaboration

Required

Bachelors degree in Data Science, Finance, Economics, Health Administration, or related field (Masters preferred)
7+ years Provider/Payer contracting experience
Strong understanding of payer contracting concepts, reimbursement methodologies, and healthcare financial drivers
Advanced experience with APR-DRG, MS-DRG, Ambulatory Surgery Center groupers, APC, APG, and RBRVS reimbursement methodologies
Proficiency in SQL and experience working with enterprise data platforms
Demonstrated ability to automate reporting and analytic workflows
Knowledge of hospital operations, health/insurance benefit plans, revenue cycle claims systems and complex reimbursement methodologies
Proven track record of developing models to evaluate financial impact of contracts, policy changes, or new opportunities
Strong communication skills with the ability to translate complex analytics into clear, actionable insights for non-technical stakeholders
Experience mentoring or managing analysts, with a focus on developing both technical and business acumen
Comfort working cross-functionally – particularly with finance, contracting, and technical data teams

Benefits

Additional benefits consistent with the role

Company

Hospital for Special Surgery

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Hospital for special surgery is the top ranked new york hospital for orthopedics and rheumatology.

H1B Sponsorship

Hospital for Special Surgery has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (20)
2023 (27)
2022 (32)
2021 (18)
2020 (27)

Funding

Current Stage
Late Stage
Total Funding
$36.6M
Key Investors
Stavros Niarchos Foundation (SNF)Flare Capital Partners
2023-06-12Grant· $10M
2022-10-25Series A· $21M
2018-07-16Grant· $5.6M

Leadership Team

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Tara M. McCoy
Chief Executive Officer, HSS Florida
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Bill Donato
Senior Advisor Supply Chain
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Company data provided by crunchbase