Payer Analytics Consultant

Profile

We have an opportunity to join the Alliance as a Payer Analytics Consultant in the Payment Strategy Department.
This position can be filled in any of our offices (Merced, Salinas, Scotts Valley), or remotely within California.
Applications are being accepted through close of business, Wednesday, April 19 2023.
WHAT YOU'LL BE RESPONSIBLE FOR
Designing and validating managed care payer models and perform moderately complex analysis to evaluate the feasibility of payer reimbursement methodologies
Conducting moderately complex financial analysis to support successful payer reimbursement outcomes
Coordinating and collaborating with internal and external stakeholders to achieve payer reimbursement objectives
ABOUT THE TEAM
The Finance Division is committed to excellence and its mission is to ensure the financial viability of the organization and to uphold the integrity of the Alliance by directing and maintaining all financial transactions recorded. We oversee overall financial management of the organization, the administration and monitoring of all financial activities relating to fiscal forecasting, management, growth, development of business operations, and we advocate stewardship by safeguarding the use of public funds.
WHAT YOU'LL NEED TO BE SUCCESSFUL
Knowledge of:
Windows based PC systems and Microsoft Word, Outlook, PowerPoint, Access, Visual Basic, and Excel (including pivot tables), and database systems
The methods and techniques of financial modeling and analysis
The principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providers
Healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical, and provider types
Ability to:
Collect, interpret, and evaluate data, detect patterns, brainstorm solutions, consider multiple factors when making decisions, and project consequences of recommendations
Demonstrate strong analytical, critical thinking, and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action
Translate data into understandable information and deliver solutions that improve business processes
Education and Experience:
Bachelor’s degree in Business Administration, Accounting, Finance, Healthcare, or a related field
Minimum of three years of experience performing financial healthcare reimbursement analysis (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER DETAILS
While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.
COVID-19 Vaccine Requirement:
At this time, the Alliance is requesting the vaccination status of its workforce for COVID-19. While this position doesn't require vaccination as a condition of employment, all employees are required to report their vaccination status, and, if vaccinated, provide proof of vaccination.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Bay Area pay range
$92,302
—
$147,701 USD
Eastern California pay range
$83,995
—
$134,410 USD
Northern California pay range
$92,302
—
$147,701 USD
Southern California pay range
$92,302
—
$147,701 USD
Additionally, all positions at the Alliance are required to meet these minimum qualifications.
OUR BENEFITS
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
And many more
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at **MEMBERS ONLY**SIGN UP NOW***. (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Merced, Monterey and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

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