Payer Analytics Consultant jobs in United States
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INTEGRIS Health · 10 hours ago

Payer Analytics Consultant

INTEGRIS Health is Oklahoma’s largest not-for-profit health system, offering a great opportunity for a Payer Analytics Consultant. This role focuses on providing strategic insights through advanced analytics to influence network strategy, value-based care initiatives, and financial performance, while collaborating with various teams to enhance patient care and ensure compliance.

Health CareHealth DiagnosticsHospitalPersonal Health

Responsibilities

Serve as a strategic advisor on payer performance and reimbursement strategies, translating complex claims and financial data into actionable insights
Lead advanced data analyses to identify trends in cost, utilization, and payer performance, driving recommendations for network optimization and contract negotiations
Develop and maintain comprehensive scorecards, dashboards, and financial models to track key performance indicators, value-based care outcomes, and quality metrics
Partner with clinical and operational leadership to identify opportunities to improve patient outcomes, operational efficiency, and financial performance
Provide high-level recommendations for payer strategies, including value-based contact negotiations, utilization management, and quality improvement initiatives
Ensure timely, accurate reporting and visualization of key analytics to support strategic decision-making at the executive level
Drive initiatives to reduce healthcare costs through data-informed interventions, including optimizing care delivery, enhancing payer-provider alignment, and improving claims processing efficiency
Act as a thought leader on healthcare analytics, keeping abreast of emerging trends in payer dynamics, reimbursement methodologies, and regulatory requirements

Qualification

Payer data analyticsFinancial modelingAdvanced analyticsSQLData visualizationCommunication skillsProject management

Required

Minimum of 5 years of progressive experience in analytics, payer contracting, or financial modeling, ideally within a health system or payer environment
Proven expertise in advanced analytics, financial modeling, and healthcare reimbursement methodologies
Deep understanding of healthcare payer-provider dynamics, claims data, and quality metrics
Demonstrated ability to lead complex projects, manage multiple priorities, and deliver high-impact, strategic recommendations
Bachelor's degree in Business, Data Analytics, Finance, Healthcare Administration, or a related field
Strong proficiency with SQL, Microsoft Excel, and data visualization tools (e.g., Tableau, Power BI)
Exceptional communication and influencing skills with the ability to present complex analyses to executive leadership

Preferred

Master's preferred

Benefits

Front-loaded PTO
100% INTEGRIS Health paid short term disability
Increased retirement match
Paid family leave

Company

INTEGRIS Health

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INTEGRIS Health is the state’s largest Oklahoma-owned health system and one of the state’s largest private employers, with hospitals, rehabilitation centers, physician clinics, mental health facilities, fitness centers, independent living centers, home health agencies and urgent cares throughout much of the state.

Funding

Current Stage
Late Stage

Leadership Team

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Timothy Pehrson
President and CEO
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Thomas McQuillan
Chief Technology Officer
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Company data provided by crunchbase