Payer Strategy & Analytics Senior Finance Manager
Core
Analytical lead for payor contracting, out-of-network reimbursement, and dispute resolution (arbitration/litigation) to optimize revenue yield.
Role type
Senior Finance Manager (Payer Strategy & Analytics)
Builds
Financial models, dashboards, and data-driven strategies for payor contracts and IDR processes.
Domain
Healthcare Finance / Payer Analytics / No Surprises Act
Required skills
Payor contracting analytics, No Surprises Act (NSA) IDR process, financial modeling, revenue recognition, data analysis, SQL, Python/R, Power BI/Tableau, Excel, benchmarking, forecasting
Preferred skills
Emergency medicine experience, litigation/arbitration support, MBA
Technologies
SQL, Python, R, Power BI, Tableau, Excel, PowerPivot
Responsibilities
Build financial models for payor contract negotiations; analyze CMS IDR Public Use Files to benchmark rates; track and report on out-of-network reimbursement metrics; develop offer and rate strategies for IDR submissions; partner with Legal/Finance on litigation support and underpayment modeling; design performance dashboards.
Seniority
Senior, hands-on IC with leadership experience
