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Senior Health Insurance Payer Contract Modeling & Benchmark Analyst (1099)
4 days agoPayCompetitive
LocationBaltimore/Maryland
Employment typeFull-Time
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Job Description
- Req#: 25-00015
Employer Industry: Healthcare Consulting
Why consider this job opportunity:
- Competitive pay for contract work
- Opportunity to work remotely from anywhere in the United States
- Engage in a significant project transitioning payer contracts to value-based reimbursement
- Collaborate with a leading firm in healthcare provider network development
- Chance to influence sustainable and equitable hospital contracts
What to Expect (Job Responsibilities):
- Analyze claims and reimbursement data to develop pricing benchmarks aligned with evolving reimbursement methodologies
- Build strategic financial models to simulate contract scenarios under varying payment structures
- Collaborate with contracting teams to align modeling outputs with negotiation strategy
- Identify and quantify cost-saving opportunities and support scenario-based decision-making
- Provide clear summaries and presentation-ready deliverables for internal and partner review
What is Required (Qualifications):
- 7+ years of experience in healthcare contract modeling or financial analytics
- Proven experience supporting complex payer-provider contract transitions
- Proficiency with modeling and financial scenario analysis
- Familiarity with DRG, APC, bundled payment, and value-based reimbursement methodologies
- Excellent communication skills and ability to manage ambiguity
How to Stand Out (Preferred Qualifications):
- Experience with value-based reimbursement frameworks and state-regulated pricing models
- Ability to work independently and manage multiple projects simultaneously
- Strong analytical skills with a focus on data-driven decision-making
#HealthcareConsulting #ContractModeling #ValueBasedCare #RemoteWork #HealthcareAnalytics
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