Payer Policy and Strategy Analyst

Job Details

Job Ref:R0089091 Category:Administration Employment Type:Full-Time Health Care Partner:University of Vermont Medical Center Location: 40 IDX Dr, South Burlington, VT 05403 Department:UVMHN - High Value Care Job Type:Regular Primary Shift:Day Hours:- Hours per Week: 40 Weekend Needs:None Pay Rate: $29.87 - $44.81 per hour

Provides analytical support for managed care contracting and value-based payment strategy. Monitors payer policies, reimbursement trends, market developments, and contract performance to support decision-making.

Reports To: Payer Contracting, Policy & Regulatory Counsel

Key Responsibilities

Market Intelligence

• Monitor payer policy bulletins and reimbursement changes.
• Track industry and market trends.
• Benchmark contract performance against market standards.

Analytics

• Perform reimbursement and contract impact analyses.
• Develop negotiation support materials.
• Model proposed payment methodologies.

Reporting

• Produce regular contract performance reports and dashboards.
• Support dashboards for payer and value-based initiatives.
• Analyze payer trends.

Strategic Support

• Support contract negotiations and payer strategy development.
• Conduct competitive analyses.
• Identify opportunities for revenue optimization and risk reduction.

Qualifications

• Bachelor"s degree in Finance, Healthcare Administration, Economics, or related field.
• 3-5 years healthcare analytics experience.
• Strong Excel, financial modeling, and data visualization skills.
• Understanding of managed care reimbursement and value-based payment models.