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Medasource · 1 week ago

Sr. Payer Strategy Analyst

United States

Full-time

Remote

Senior Level

$60/hr - $70/hr

Medasource is a healthcare consulting company seeking a Senior Payer Strategy Analyst to play a pivotal role in modeling reimbursement rates and analyzing payer performance. The analyst will provide financial insights that influence contract negotiations and revenue optimization, serving as a key advisor to leadership and managing multiple projects independently.

Health CareMedical

Growth Opportunities

Responsibilities

Model reimbursement rates and analyze payer performance to inform contract negotiations and revenue optimization

Prepare detailed financial models and reports to support payer negotiations and strategic conversations

Deliver data-driven insights and recommendations to leadership for payer strategy and financial planning

Extract, analyze, and report data using advanced Excel, SQL, and Epic systems

Manage multiple report requests via Smartsheet work queue, ensuring timely and accurate delivery (typical turnaround: 1-3 weeks per project)

Attend and contribute to weekly negotiation meetings with payers and contract negotiators

Independently handle projects, prioritize workload, and meet turnaround expectations with strong time management

Collaborate with team members and adapt to shifting assignments based on workload; analysts are assigned to specific payers but may interchange as needed

Apply deep knowledge of hospital and physician reimbursement methodologies, including Medicare distinctions

Conduct root cause analysis and apply critical thinking to resolve complex issues

Develop Power BI dashboards (preferred) and leverage SQL reporting in Epic (strong plus)

Read and interpret Explanation of Benefits (EOBs) to inform analysis and reporting

Qualification

Healthcare reimbursement methodologiesAdvanced Excel proficiencySQL programming skillsEpic certificationPower BI dashboard developmentCritical thinking skillsTime management skillsIndependent project handlingRoot cause analysisReading EOBsSelf-starter mentality

Required

Advanced Excel proficiency, including pivot tables, VLOOKUP, graphs, and complex modeling

SQL programming skills and experience extracting data from Epic

Epic certification (models in Epic + Excel preferred); double certification in hospital and physician reimbursement contracts required within 90 days of hire

Experience with Epic required

Ability to read and understand EOBs (Explanation of Benefits)

Strong time management and independent project handling skills

Critical thinking skills and experience with root cause analysis

Deep understanding of hospital and physician reimbursement, including Medicare distinctions

PB (Professional Billing) and HB (Hospital Billing) certification (must have or obtain within 90 days of being hired)