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Charlie Health · 1 day ago

Payer Strategy Specialist

United States

Full-time

Remote

Entry, Mid Level

1+ years exp

Charlie Health is a rapidly growing organization focused on connecting individuals to life-saving behavioral health treatment. The Payer Strategy Specialist is responsible for managing the verification of benefits process and ensuring accurate policy reviews to support patient access and reimbursement for services.

Health Care

Responsibilities

Collect and analyze data from various sources, including payer policies, reimbursement trends, market access, and formulary status, to inform payer strategies

Monitor and assess payer trends, including reimbursement levels, formulary placement, and health policy changes to help predict and address potential impacts on product access

Support the development of market access strategies, working cross-functionally with Commercial Strategy, RCM, and other teams

Prepare reports and presentations summarizing key insights, payer feedback, and market dynamics for senior leadership

Support the tracking and analysis of payer performance metrics to measure the effectiveness of access and reimbursement strategies

Help maintain and update databases and tools used to track payer access and reimbursement status

Provide recommendations on payer strategy adjustments based on evolving market conditions or payer behavior

Qualification

Payer dynamicsData analysisMarket access strategiesMicrosoft Office SuiteHealthcare industry experienceCommunication skillsOrganizational skills

Required

1-3 years of experience in the healthcare industry (patient account representative, insurance collections, payer strategy, market access, healthcare consulting, or a similar field

Strong understanding of payer dynamics, including reimbursement, formulary management, and market access strategies

Proficient in data analysis and reporting, with the ability to synthesize complex information into clear, actionable insights and trending patterns

Knowledge of government programs such as Medicaid and commercial payer structures

Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word); experience with data analysis tools or CRM software is a plus

Excellent written and verbal communication skills, with the ability to communicate complex ideas to both technical and non-technical audiences

Strong organizational skills and ability to manage multiple projects and priorities simultaneously