- United States
- On-site
- Full-time
- 3–5 years
Evaluates financial, operational, and contractual performance across managed care payer agreements to identify exposure and recovery opportunities.
Responsibilities
- Interprets reimbursement terms and models rate changes
- Validates expected versus actual payments
- Analyzes underpayments, denials, utilization, and net revenue trends
- Monitors payer compliance with contract requirements
- Supports issue escalation and resolution
Requirements
- Bachelor's Degree
- Nice to have: SQL
- Nice to have: Power BI
- Nice to have: Tableau
- Nice to have: Epic