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Senior Health Insurance Payer Contract Modeling & Benchmark Analyst (1099)

4 days ago

PayCompetitive
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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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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