Senior Healthcare Payer Performance Analyst

🕒 August 11

🇺🇸 United States – Remote

💵 $89k - $148k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

💰 Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Analyze complex physician, facility, and ancillary contract terms, claims data, fee schedules, and reimbursement outcomes • Develop data-driven analyses to identify trends, variances, discrepancies, and financial or operational impacts related to payer contract performance and reimbursement accuracy • Perform root-cause analysis using contract requirements, claim details, payment data, and operational workflows • Distinguish contract configuration, interpretation, reimbursement, and claims-processing issues • Use Excel and other business intelligence or analytics tools to organize, validate, interpret, summarize, and present complex healthcare data • Lead analysis workstreams, synthesize findings, prepare clear deliverables, and present conclusions and recommendations • Partner with contracting, reimbursement, operations, analytics, and leadership teams to clarify requirements, resolve issues, and align contract terms, data outputs, and operational processes • Manage multiple priorities while maintaining accuracy, attention to detail, sound judgment, and timely delivery • Support payer performance, reimbursement, and contract management initiatives

🎯 Requirements

• Bachelor’s degree in healthcare administration, business, finance, or a related field • 5–7+ years of experience in healthcare data analysis, reimbursement analytics, contract management, managed care, revenue cycle, payer/provider contracting, or a related healthcare operations environment • Strong understanding of healthcare reimbursement concepts, provider and payer contract language, fee schedules, contract interpretation, and how contract terms translate into data and payment outcomes • Experience performing payment variance analysis, root-cause analysis, and issue resolution in a healthcare setting • Advanced analytical and critical-thinking skills • Ability to evaluate large or complex data sets, identify actionable insights, and translate findings into practical recommendations • Strong knowledge of medical terminology and healthcare coding concepts, including CPT, HCPCS, ICD, and revenue codes • Advanced Microsoft Excel and Office proficiency • Experience organizing, analyzing, validating, summarizing, and presenting data • Experience with business intelligence, reporting, or analytics tools is preferred • Excellent written, verbal, communication, and presentation skills • Ability to lead discussions, present analytical findings, and explain complex contract, reimbursement, and data concepts clearly to non-technical stakeholders and leadership • Ability to work independently, exercise sound judgment, manage high-complexity analytical assignments, and communicate risks, findings, and recommendations effectively • Experience with FinThrive is nice to have • Experience with Epic is nice to have

🏖️ Benefits

• Competitive compensation • Flexible benefits package • Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Discretionary variable incentive bonus • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account • Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Tuition Reimbursement • Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program