Senior Payer Analytics Consultant

May 14

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $110.2k - $176.3k / year

⏰ Full Time

🟠 Senior

💼 Consultant

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Central California Alliance for Health

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Healthcare Insurance • Non-profit

Central California Alliance for Health is a regional non-profit healthcare organization that provides Medi-Cal managed care services to residents in several Central California counties, including Mariposa, Merced, Monterey, San Benito, and Santa Cruz. The organization offers a wide range of health services, including primary care, behavioral health, pharmacy support, and disease management, focusing on improving member coordination of care and access to health services. Central California Alliance for Health also engages with communities through grants and partnerships to enhance healthcare accessibility and quality. The organization supports members with services such as dental and vision care, family planning, transportation, and language assistance. Additionally, it provides resources for health education, telehealth services, and complex case management.

501 - 1000 employees

Founded 1996

⚕️ Healthcare Insurance

🤝 Non-profit

📋 Description

• Performs complex managed care payer financial modeling and analysis to evaluate the feasibility of payer reimbursement methodologies • Conducts complex financial analysis to support successful payer reimbursement outcomes • Coordinates and collaborates with internal and external stakeholders to achieve payer reimbursement objectives • Provides subject matter expertise and assists with providing orientation, mentoring, and training to subordinate Payer Analytics Consultants

🎯 Requirements

• An experienced analytical and collaborative professional, with direct experience with complex medical payor modeling • Technically strong, with skill in provider reimbursement modeling, payment structure design and reimbursement strategies • A collaborative and professional communication style, building productive relationships supporting multiple stakeholders • Experience with Medicare and/or Medi-Cal (Medicaid) a plus

🏖️ 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