Payor Intelligence Sr. Analyst
Core
Building and owning payor intelligence taxonomies, hierarchies, and governance to map the U.S. payor landscape for a healthcare reimbursement platform.
Role type
Senior individual contributor domain analyst (payor intelligence)
Builds
Payor entity mapping, policy governance, and delegated-relationship logic for prior authorization
Domain
U.S. healthcare reimbursement and insurance payor landscape
Deliverable
production ML models
Required skills
U.S. payor landscape expertise, taxonomies and frameworks design, policy interpretation, data mapping, analytical pattern recognition, self-directed ownership
Preferred skills
SQL, clinical content source familiarity
Responsibilities
Build and own payor entity mapping hierarchies; Source, interpret, and govern medical policies and fee schedules; Design delegated-relationship logic for prior authorization; Map prospect payor data to the payor model
Seniority
Senior, hands-on IC