Payor Strategy Manager

Role responsibilities

The Payor Strategy Manager will lead the development and execution of managed care analytics to support contract negotiations and manage agreements with payors. This role involves building analytical models, managing projects, and developing payor strategies to achieve organizational goals.

Requirements

A Bachelor’s Degree in Finance, Accounting, or Business is required, along with 3 years of experience in managed care financial analytics. Strong analytical skills, knowledge of reimbursement methodologies, and familiarity with various data management tools are essential.

Key skills

Managed Care Analytics, Contract Negotiation, Financial Modeling, Data Analysis, Excel, Power BI, SQL, SAS, EPIC, Billing Systems, CPT4 Coding, ICD9CM Coding, DRGs, Reimbursement Methodologies, Pricing Strategy, Market Research

Keywords

Managed Care, Analytics, Contract Negotiation, Financial Modeling, Excel, Power BI, SQL, SAS, EPIC, Billing Systems, CPT4, ICD9CM, DRGs, Reimbursement, Medicare, Medicaid, Pricing Strategy, Market Research, Value-Based Pricing, Team Management, Healthcare, Contract Compliance, Data Analysis, Dashboard Reporting, Revenue Growth, Strategic Planning, Project Management, Communication Skills, Problem Solving, Professionalism