[Hiring] Payer Analytics Consultant @Central California Alliance for Health (Remote)

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role DescriptionWe have an opportunity to join the Alliance as a Payer Analytics Consultant in the Payment Strategy Department. There are two positions that can be filled as a Payer Analytics Consultant orSenior Payer Analytics Consultant level. This position can be filled remotely for those living in California. Reporting to the Payment Strategy Director, this position:• Designs and validates managed care payer models and performs moderately complex analysis to evaluate the feasibility of payer reimbursement methodologies• Conducts moderately complex financial analysis to support successful payer reimbursement outcomes• Coordinates and collaborates with internal and external stakeholders to achieve payer reimbursement objectivesQualifications• Bachelor’s degree in Business Administration, Accounting, Finance, Healthcare, or a related field• A 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 qualifyingRequirementsKnowledge of:• Windows based PC systems and bolthires Word, Outlook, PowerPoint, Access, Visual Basic, and Excel (including pivot tables), and database systems• Methods and techniques of financial modeling and analysis• 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• National standards for fee-for-service and value-based provider reimbursement methodologies, including risk-sharing models• Data modeling techniques and business analytical and data mining tools, including SQL, and data visualization tools, such as TableauAbility 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• Act as a technical resource, provide guidance related to area of assignment, and explain related regulations, processes, and programs• Interpret and apply rules, regulations, policies, procedures, and guides• Work collaboratively with individuals at all levels of the organization while supporting multiple stakeholdersBenefits• Medical, Dental and Vision Plans• Ample Paid Time Off• 12 Paid Holidays per year• 401(a) Retirement Plan• 457 DeferredCompensation Plan• Robust Health and Wellness Program• Onsite EV Charging Stations• And many more Apply tot his job