CommonSpirit Health · 4 hours ago

Payer Analytics and Economics Analyst

Phoenix, AZ

Full-time

Remote

Entry Level

$30.55/hr - $44.30/hr

1+ years exp

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Responsibilities

Evaluate and enhance the various ways our expected reimbursement calculations from Payment Integrity Compass are integrated within system-wide initiatives to defend our in and out-of-network payer revenue.

Develop reporting to identify, and potentially correct, systematic expected reimbursement modeling variances impacting downstream stakeholders (such as Completeness and Accuracy and Calculation Error reporting)

Support downstream users of expected reimbursement information across the organization within the areas of payer disputes, price transparency requirements, No Surprises Act initiatives, revenue analytics, etc

Review and analyze payer policy impact and collaborate on internal communication and education as applicable to prevent adverse impact from payer policy changes

Assist with research and education for PAE on the impact of various legislative issues and billing, payer, and healthcare industry topics as needed.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Financial Healthcare ReimbursementFinancial AnalysisFee-for-Service MethodologiesValue-Based ReimbursementData Management StrategiesMS ExcelFinancial Statements KnowledgeAccounting PrinciplesMS AccessMS Visual BasicSQLBudgetingForecastingStrategic PlanningHealthcare Operations

Required

Bachelor’s Degree in Business Administration, Accounting, Finance, Healthcare or related field. Equivalent education and experience, in related field may be considered in lieu of degree.

Minimum of one (1) year of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies.

Experience in contribution to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and healthcare operations.

Basic technical understanding and proficiency in MS Excel, MS Access, MS Visual Basic, PIC, SQL, or other related applications.

Working knowledge of financial statements and accounting principles.

Company

CommonSpirit Health

Glassdoor

3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10,001+ employees