Job Description
Note: The job is a remote job and is open to candidates in USA. Medasource is a healthcare consulting company seeking a Senior Payer Strategy Analyst to play a pivotal role in modeling reimbursement rates and analyzing payer performance. The analyst will provide financial insights that influence contract negotiations and revenue optimization, serving as a key advisor to leadership and managing multiple projects independently. Responsibilities • 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 Skills • Advanced Excel proficiency, 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 understand EOBs (Explanation of Benefits) • Strong time management and independent project handling skills • Critical thinking skills and experience with root cause analysis • Deep understanding of hospital and physician reimbursement, including Medicare distinctions • PB (Professional Billing) and HB (Hospital Billing) certification (must have or obtain within 90 days of being hired) • Develop Power BI dashboards (preferred) and leverage SQL reporting in Epic (strong plus) • Power BI dashboard development preferred but not required • SQL reporting in Epic is a strong plus Company Overview • Medasource is a hospital & health care company specializing in population health management and clinical engineering services. It was founded in 2000, and is headquartered in Indianapolis, Indiana, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job