Sr Payer Analyst / Managed Care Contracting jobs in United States
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Hartford HealthCare · 3 months ago

Sr Payer Analyst / Managed Care Contracting

Hartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Senior Payer Analyst to focus on payer contracting analytics. The role involves reviewing and monitoring contract performance, maintaining reimbursement tools, and collaborating with various departments to support contracting initiatives.

Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
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H1B Sponsor Likelynote

Responsibilities

Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas of focus are hospital and ancillary analysis
Maintain accurate expected reimbursement build in the EPIC system
Maintain payment related tools such as payer rate grids
Maintain a process for final modeling information review
Work collaboratively with revenue cycle, medical records/coding and compliance to identify and correct issues
Develop ad hoc analysis in support of HHC and/or ICP contracting initiatives

Qualification

Payer contracting analyticsContract modeling softwareAdvanced ExcelEPICTableau/SQLHealth care financeCustomer service focusInterpersonal skillsCommunication skillsProblem solving

Required

Minimum: BA/BS degree
Minimum: 5 years of hospital and physician contract modeling experience
English
Advanced knowledge/expertise regarding current and evolving provider payment methodologies with a focus on hospital and physician
Knowledge of governmental payment structures
Advanced expertise and experience with contract modeling software as well as other financial software including hospital information systems and reporting tools (EPIC)
Experience working with large data sets
Advanced Excel ability required
Demonstrated expertise on billing and coding is required as well as broad knowledge of health care finance and accounting issues
Strong interpersonal and communication skills essential as well as demonstrated ability to work collaboratively across functional areas
Superior analytic and problem solving skills
Customer service focus

Preferred

BA/BS degree in Health Care, MIS, Finance, Statistics or Mathematics
5+ of hospital and ancillary contract modeling experience
Epic
Tableau/SQL experience a plus
Knowledge of cost accounting and EPSi highly desired

Benefits

Competitive benefits program designed to ensure work/life balance

Company

Hartford HealthCare

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Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.

H1B Sponsorship

Hartford HealthCare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)

Funding

Current Stage
Late Stage
Total Funding
$150M
Key Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M

Leadership Team

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Jeffrey Flaks
President & Chief Executive Officer, Hartford HealthCare
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Bimal Patel
Executive Vice President/ Chief Operating Officer
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Company data provided by crunchbase