CommonSpirit Health

Payer Analytics Economics Analyst

CommonSpirit Health • $70K — $95K *
US-AnywhereRemote
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Business Administration, Accounting, Finance, Healthcare or related field.
  • Minimum one year of experience in financial healthcare reimbursement analysis.
  • Strong analytical, quantitative, and financial modeling skills.
  • Understanding of national standards for fee-for-service and value-based reimbursement methodologies.
  • Experience in driving profitability through financial analysis and data management.

Responsibilities

  • Perform strategic pricing analysis for managed care contracting.
  • Monitor and analyze contract financial performance.
  • Train stakeholders on modeling negotiated payer contracts.
  • Act as liaison for communication between CommonSpirit Health and payers.
  • Prepare service line reimbursement and financial performance analyses.
  • Manipulate and collect data from various financial and clinical databases.

Benefits

  • Comprehensive healthcare coverage
  • Retirement savings plan
  • Professional development opportunities
  • Flexible work arrangement options
  • Employee wellness programs
Full Job Description
Job Summary and Responsibilities

As our Payer Analytics and Economics Analyst, you will be instrumental in leveraging data-driven insights to optimize our payer relationships, contract performance, and overall financial health. Every day you will analyze payer contracts, claims data, and market trends to identify opportunities for revenue enhancement, cost reduction, and improved contract terms. To be successful in this role, you must possess strong analytical, quantitative, and financial modeling skills, a comprehensive understanding of healthcare reimbursement methodologies, payer contracting, and managed care economics.

  • Perform strategic pricing analysis to support the negotiation and implementation of appropriate reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop financial models and payer performance analysis.
  • Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability. Review and accurately interpret contract terms, including payer policies and procedures impacting contract performance.
  • Provide stakeholder training of the modeling of proposed/existing negotiated payer contracts, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes.
  • Act as a liaison between CommonSpirit Health and payer to update information and communicate changes related to reimbursement.
  • Prepare service line reimbursement analyses and financial performance analyses. Develop methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provision, parameters and rate structures aimed at establishing appropriate reimbursement levels.
  • Identify, collect, and manipulate from a wide variety of financial and clinical internal data bases (e.g. PIC, STAR, TSI, PCON, EPIC) and external sources. Identify and access appropriate data resources to support analyses and recommendations.
Job Requirements

Required

  • Bachelors Other in Business Administration, Accounting, Finance, Healthcare or related field and 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,
  • Equivalent education and/or experience may be considered in lieu of degree.,
  • Experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and value-based provide reimbursement methodologie
  • 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

About CommonSpirit Health

CommonSpirit is a nonprofit health care center. They offer community health programs, research programs, virtual care services, and home health programs that address the root causes of poor health, such as access to care, affordable housing, neighborhoods, and a healthy environment.

CommonSpirit Health Careers

Join the dedicated team at CommonSpirit Health, a leader in healthcare innovation and community wellness. CommonSpirit Health offers a range of job opportunities that empower professionals to grow their careers in a supportive and diverse environment.

Explore Career Opportunities

CommonSpirit Health is actively hiring and offers a variety of positions that cater to different skills and career aspirations. From clinical roles to administrative positions, the company provides a platform for growth and professional development.

Experience a Culture of Care and Innovation

At CommonSpirit Health, the culture is grounded in diversity, leadership, and innovation. The team is committed to fostering an inclusive environment where every member’s contribution is valued. CommonSpirit Health leads with a spirit of compassion and a commitment to excellence in healthcare.

Join a Team That Values Diversity and Leadership

CommonSpirit Health believes in the power of diversity and leadership to drive innovation. The company invests in diversity training and leadership development programs, ensuring that all team members are equipped to lead with integrity and empathy.

Internship and Employment Opportunities

For those starting their career, CommonSpirit Health offers internship programs that provide hands-on experience in the healthcare industry. These internships are designed to develop essential skills and offer insights into various aspects of healthcare operations.

Benefits and Growth

Employees at CommonSpirit Health enjoy a comprehensive benefits package that supports both their professional and personal lives. The company is committed to the career growth of its employees, offering numerous opportunities for advancement and professional development.

Networking and Professional Development

CommonSpirit Health encourages networking and continuous learning. Employees have access to a wide range of professional development courses and are encouraged to connect with peers and leaders within the industry to enhance their career prospects.

Applying for a Position

To apply for a position at CommonSpirit Health, candidates should prepare their resume to highlight relevant experience and skills. The hiring process may include an interview to assess compatibility with the company’s values and culture. Interested candidates can explore job listings and submit applications through the CommonSpirit Health Careers portal.

Stay Connected with CommonSpirit Health Jobs

Keep up to date with new job opportunities and company news by subscribing to job alert emails from CommonSpirit Health. Tailor the subscription to receive updates that match specific career interests and preferences.

Explore CommonSpirit Health Careers

Discover the rewarding career opportunities at CommonSpirit Health. With a commitment to community health, innovation, and compassionate care, CommonSpirit Health is an ideal place to advance a career in healthcare. Search open positions that match skills and interests and join a team that’s making a difference.

SEARCH COMMONSPIRIT HEALTH JOBS

Read Careers Blog

Stay informed with career tips, insider perspectives, and industry-leading insights from CommonSpirit Health. Use this valuable information to enhance career growth and stay ahead in the healthcare industry.

READ CAREERS BLOG

Job Alert Emails

Personalize the subscription to receive job alerts, latest news, and insider tips tailored to preferences. Explore the exciting and rewarding opportunities that await at CommonSpirit Health.
Learn more about CommonSpirit Health
Size
10,001 employees
Industry
Hospitals & Medical Centers
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at CommonSpirit Health

More Healthcare Jobs

Find similar Payer Analytics Economics Analyst jobs:

NationwideRemote