Sr. Payer Strategy Analyst

Senior Payer Strategy Analyst

Remote Role

Compensation: $44-53/hr

6-month contract-to-hire

ABOUT THE ROLE

Our client is seeking a Senior Payer Strategy Analyst to play a pivotal, high-impact role in modeling reimbursement rates, analyzing payer performance, and providing financial insights that directly influence contract negotiations and revenue optimization across the health system. This strategic position requires advanced analytical abilities, deep expertise in healthcare reimbursement methodologies-including Medicare distinctions-and proficiency with financial and clinical systems such as Epic and Excel. The analyst will serve as a key advisor to leadership, preparing detailed models and reports, participating in negotiation meetings, and delivering data-driven recommendations that shape payer strategy and financial planning. The ideal candidate is a self-starter with strong critical thinking and time management skills, capable of managing multiple projects independently, handling shifting assignments, and contributing to the organization's payer strategy and financial planning.

WHAT YOU'LL DO

• Model reimbursement rates and analyze payer performance to inform contract negotiations and revenue optimization.
• Prepare detailed financial models and reports to support payer negotiations and strategic conversations.
• Deliver data-driven insights and recommendations to leadership for payer strategy and financial planning.
• Extract, analyze, and report data using advanced Excel, SQL, and Epic systems.
• Manage multiple report requests via Smartsheet work queue, ensuring timely and accurate delivery (typical turnaround: 1-3 weeks per project).
• Attend and contribute to weekly negotiation meetings with payers and contract negotiators.
• Independently handle projects, prioritize workload, and meet turnaround expectations with strong time management.
• Collaborate with team members and adapt to shifting assignments based on workload; analysts are assigned to specific payers but may interchange as needed.
• Apply deep knowledge of hospital and physician reimbursement methodologies, including Medicare distinctions.
• Conduct root cause analysis and apply critical thinking to resolve complex issues.
• Develop Power BI dashboards (preferred) and leverage SQL reporting in Epic (strong plus).
• Read and interpret Explanation of Benefits (EOBs) to inform analysis and reporting.

WHAT YOU BRING

• Advanced proficiency in Excel, including pivot tables, VLOOKUP, graphs, and complex modeling.
• SQL programming skills and experience extracting data from Epic.
• Epic certification (models in Epic + Excel preferred); double certification in hospital and physician reimbursement contracts required within 90 days of hire.
• Experience with Epic required.
• Ability to read and interpret Explanation of Benefits (EOBs).
• Strong time management and independent project management skills.
• Critical thinking skills and experience with root cause analysis.
• Deep understanding of hospital and physician reimbursement methodologies, including Medicare distinctions.
• Power BI dashboard development preferred but not required.
• Self-starter mentality and ability to work independently.
• SQL reporting in Epic is a strong plus.

Disclaimer: Brooksource, Medasource, and Calculated Hire are part of the Eight Eleven Group family of companies and operate under Eight Eleven Group, LLC. All employees receive the same benefits, policies, and terms of employment.


EEO:
We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, military or veteran status, citizenship, pregnancy (including childbirth, lactation, and related conditions), or any other protected status in accordance with applicable federal, state, and local laws.


Benefits & Perks:
Eight Eleven Group offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee's needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.


Pay Disclaimer:
The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

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