Payor Network Payor Provider Analyst

HonorHealth • Scottsdale, AZ

4d • Remote

About The Position

The Payor Network Payor Provider Analyst develops and provides timely, high-quality decision-making information to executives to increase profitability, decrease costs, and support system change. The role analyzes payor and provider contracts for HonorHealth’s facilities, physicians, and affiliates, a network with annual revenues of $900 million. It models payor contracts and develops proactive analysis and reporting methods related to network profitability, organizational revenue, utilization trends, cost drivers, and financially related compliance risk. The analyst provides leadership and works with internal and external stakeholders to generate and analyze reports from computer software systems.

This position is remote within Arizona, and the employee must reside in Arizona. It is part of the Payor Contracting department and has a day shift.

Requirements

• Bachelor’s degree or four years of related work experience.
• At least three years of data mining and analysis experience related to healthcare and health plans.

Nice To Haves

• Five years of experience.

Responsibilities

• Develop analytical strategies and methodologies to support revenue generation through the combination of contracting and revenue cycle processes, including capturing coding in contracts to realize revenue.
• Work with Financial Analytics, Finance, Revenue Cycle, Care Management, Medical Directors, Compliance, and Quality to obtain reliable data for analysis.
• Analyze financial, utilization, market, and demographic data relating to health plans, intermediaries, ambulatory surgical centers, health services, physician performance, and network revenue and profitability.
• Model network payor contracts using a contract modeling system and other analytical methods to analyze and trend network- and facility-specific revenue, profitability, and utilization data.
• Generate report formats and reports using system software to interpret and present health plan contracting and utilization data to senior management teams and physician leaders.
• Maintain accurate, concise documentation of data input sources and analytical methodologies.
• Work with the Associate Vice President of Payor Contracts and the Payor Contracting team on payor negotiations, problem solving, and reporting.
• Work with the Associate Vice President of Provider Contracts and the Provider Contracting team to develop standardized analyses and reporting for independent physician fair market value analyses and contracting.

What This Job Offers

• Job Type: Full-time