Payor Analytics Manager
Core
Managing payor negotiation analytics, monitoring profitability of payor contracts, and performing financial analyses to support managed care efforts and contract proposals.
Role type
Manager, Payor Analytics
Builds
Analytical reports and insights for managed care and contract performance
Domain
Healthcare / Health Insurance / Payer Analytics
Deliverable
dashboards & analysis
Required skills
Financial analysis, Contract negotiation analysis, Profitability monitoring, Competitive analysis, Data collection and auditing, Budgetary review, GAAP knowledge, Standard Carrier claims analysis, Medication utilization analysis, Rate structure conversion
Preferred skills
Supervisory or project/program management, Advanced degree (Master's)
Technologies
Word processing, Spreadsheet, Database, Email applications
Responsibilities
Monitor profitability of current payor contracts and identify negotiation targets, Perform financial analyses to assist with contract proposals and terminations, Produce analytical reports to support managed care efforts, Track contract escalators, Analyze network data for growth, Perform competitive analysis of individual markets
Seniority
Manager, tactical execution with potential supervision