Payer Policy and Strategy Analyst

Central Vermont Medical CenterSouth Burlington, VT
Onsite

About The Position

Provides analytical support for managed care contracting and value-based payment strategy. Monitors payer policies, reimbursement trends, market developments, and contract performance to support decision-making.

Requirements

  • Bachelor's degree in Finance, Healthcare Administration, Economics, or related field.
  • 3-5 years healthcare analytics experience.
  • Strong Excel, financial modeling, and data visualization skills.
  • Understanding of managed care reimbursement and value-based payment models.

Responsibilities

  • Monitor payer policy bulletins and reimbursement changes.
  • Track industry and market trends.
  • Benchmark contract performance against market standards.
  • Perform reimbursement and contract impact analyses.
  • Develop negotiation support materials.
  • Model proposed payment methodologies.
  • Produce regular contract performance reports and dashboards.
  • Support dashboards for payer and value-based initiatives.
  • Analyze payer trends.
  • Support contract negotiations and payer strategy development.
  • Conduct competitive analyses.
  • Identify opportunities for revenue optimization and risk reduction.
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