SCA Health · 3 days ago

Payer Analytics Analyst

Myrtle Point, OR

Contract

Remote

Entry Level

$55K/yr - $70K/yr

2+ years exp

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Responsibilities

Partner with contract negotiators to identify key variables and preliminary strategies for upcoming negotiations, then generate accurate and instructive analytical models that reflect these inputs

Collaborate with regional business development leaders to evaluate potential acquisitions, using a combination of external and internal claims data

Support cross-functional team members with development, implementation, and maintenance of operational reports and analytical dashboards

Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue

Develop effective quality control processes to ensure data integrity

Assist in building the Managed Care budget for future years together with Payer Engagement contract negotiators.

Periodically review and provide guidance on facility charge masters

Review claims data to ensure accurate and adequate payment

Ask thoughtful questions about execution and business context across different lanes

Present ideas and participate in meetings - Actively seek new opportunities to contribute

Uphold and practice the principles and policies of the SCA Compliance program

Qualification

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