Lead Payer Analytics Consultant

Overview

We have an opportunity to join the Alliance as a Lead Payer Analytics Consultant in the Payment Strategy Department. There are two positions that can be filled remotely for those living in California.

Responsibilities

• Functions as a strategic consultant to Alliance executive leadership in the areas of complex managed care payer financial modeling and statistical analysis to evaluate the feasibility of payer reimbursement methodologies
• Advises Alliance executive leadership on organizational decision making through the performance of complex financial analysis to support successful payer reimbursement outcomes
• Acts as subject matter expert and collaborates with internal and external stakeholders to achieve payer reimbursement objectives
• Acts as a subject matter expert and lead to subordinate staff

About the Team

The Payment Strategy department ensures the Alliance’s payments to our network are adequate to our revenue. We also work to advance our payment methodology in order to achieve the best quality healthcare while reducing costs.

The Ideal Candidate

What You’ll Need to Be Successful

To read the full position description, and list of requirements please view the attached link.

Methods and techniques of financial modeling and analysis

Demonstrate strong analytical, critical thinking, and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action

Education and Experience

Bachelor’s degree in Business Administration, Accounting, Finance, Healthcare, or a related field

A minimum of eight years of experience performing financial healthcare reimbursement analysis (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying

Other Information

We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

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