Payer Relations Analyst

Overview

FTE: 1.000000 (Full Time)
Schedule: Primarily Mon - Fri / 8AM - 5PM
Starting Wage (Exempt): $62,587.20-$86,070.40, depending on experience
Work Style: Remote

This role supports analytical and modeling activities used to evaluate and optimize payer contracts. The Payer Relations Analyst develops reimbursement models, conducts standard contract analyses, and provides data-driven insights to Senior Payer Relations Analysts and leadership to help the organization understand payer performance and the financial impact of contract decisions.

Responsibilities

• Develop reimbursement models to support evaluation and optimization of payer contracts
• Conduct standard contract analyses
• Support Senior Payer Relations Analysts and leadership with data-driven insights
• Analyze payer performance and assess financial impact related to contract management
• Contribute to broader efforts to ensure financial sustainability and effective contract management

Requirements

• 3 years of progressively responsible work experience related to data collection, analysis, and process optimization is required
• 3+ years of experience in healthcare finance, payer contracting, revenue cycle operations, revenue cycle analytics, project management, or decision support is required
• Proficiency in Excel skills is required
• Proficient in Epic, payer contracting systems, and data visualization tools
• Knowledge of healthcare reimbursement models such as DRG, APC, fee schedules, and value-based arrangements is preferred

Education

• A bachelor's degree in accounting, finance, business, economics, or a related field, or the equivalent in experience is required

Compensation & Benefits

• Competitive Pay (market-based compensation for hourly and salaried positions)
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire
• Retirement Savings: Employer-sponsored retirement plan with company contribution and match
• Paid Time Off: Generous ETO for part-time and above employees
• Professional Development: Tuition reimbursement and tuition repayment program
• Additional Benefits: Life insurance, disability coverage, and employee assistance programs

Location

• Remote position. Candidates will be required to have reliable broadband internet and personal cell phone service.
• Remote work may include online training and working day-to-day operations during Pacific Standard business hours.
• Candidates must live within the United States.
• Due to pay practices, the employer is not able to employ candidates living in some states.

Equal Opportunity

The organization is an Equal Opportunity Employer and is committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.