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System Manager Payer Analytics Economics

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American Nursing Care

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Location:
United States , Rancho Cordova

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Category:

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Contract Type:
Not provided

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Salary:

52.15 - 70.58 USD / Hour

Job Description:

As our System Manager, Payer, you will provide strategic leadership and expert oversight for all aspects of our organization's payer relations and contracting, ensuring optimal financial performance and sustainable partnerships with health plans. Every day you will manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers across our system.

Job Responsibility:

  • Provide strategic leadership and expert oversight for all aspects of our organization's payer relations and contracting
  • Manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers
  • Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff
  • Oversee quality control and quality assurance of Payer Analytics & Economics analytics deliverables and financial models
  • Review and accurately interpret contract terms, including payer policies and procedures
  • Monitor contract financial performance
  • Provide training and oversight of the modeling of proposed/existing payer contracts
  • Oversee and prepare complex service line reimbursement analyses and financial performance analyses
  • Develop methods and models to identify the implications of new/revised strategies
  • Prepare and effectively present results to senior leadership, and other key stakeholders

Requirements:

  • Bachelor’s Degree in Business Administration, Accounting, Finance, Healthcare or related field
  • Five (5) years of experience in contributing to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and/or healthcare operations
  • Two (2) years of experience in a supervisory role
  • Strongly prefer hospital or managed care experience
  • Strongly prefer some experience with SQL queries and strong Excel
  • EPIC experience a big plus

Nice to have:

  • Hospital or managed care experience
  • Experience with SQL queries and strong Excel
  • EPIC experience
What we offer:
  • Medical, prescription drug, dental, vision plans
  • Life insurance
  • Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • Tuition reimbursement
  • Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
February 18, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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