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Central California Alliance for HealthPayer Analytics Consultant (Defined Term)
The Central California Alliance for Health is recruiting a defined-term Payer Analytics Consultant for its Payment Strategy Department. The role designs and validates managed care payer…
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About This Role
The Central California Alliance for Health is recruiting a defined-term Payer Analytics Consultant for its Payment Strategy Department. The role designs and validates managed care payer models, runs moderately complex financial analysis of reimbursement methods, and coordinates with internal and external stakeholders. The position is fully benefited and can be filled in any Alliance service area or remotely in the Pacific, Mountain and Central time zones.
Job Description
The Central California Alliance for Health is recruiting a defined-term Payer Analytics Consultant for its Payment Strategy Department. The role designs and validates managed care payer models, runs moderately complex financial analysis of reimbursement methods, and coordinates with internal and external stakeholders. The position is fully benefited and can be filled in any Alliance service area or remotely in the Pacific, Mountain and Central time zones.
Responsibilities
- Design and validate managed care payer models
- Carry out moderately complex financial analysis to test reimbursement methodologies
- Coordinate with internal and external stakeholders to meet reimbursement goals
Requirements
- Proven experience in payer financial modelling, provider payment methodologies and reimbursement strategy
- Working knowledge of Excel, SQL and Tableau, and of healthcare claims and provider data
- Ability to explain complex financial and analytical concepts to technical and non-technical audiences
Qualifications
- Knowledge of fee-for-service and value-based reimbursement, including risk-sharing models
- Familiarity with hospital, physician and ancillary provider fee schedules
Core Skills
Benefits
- Fully benefited defined-term position
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Where can the role be based?
It can be filled in any Alliance service area, or remotely within the Pacific, Mountain and Central time zones.
How long does the position last?
It is a defined-term role of limited duration, with an end date not to exceed December 31, 2026.
Does the posting state a salary?
The posting excerpt does not specify a salary figure.
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