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Central California Alliance for Health

Payer Analytics Consultant (Defined Term)

Who can apply: Limited to certain states (list not available).
Location as listed by the employer: “Remote, California; Remote, Pacific, Mountain and Central Time Zones; Teleworker”
Apply on Central California Alliance for Health's site ↗

Opens the employer's official application page.

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About this role

Central California Alliance for Health is hiring for a Payer Analytics Consultant (Defined Term) role. See the official posting for full details.

Requirements

  • Knowledge of:
  • Windows based PC systems and Microsoft 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 Tableau
  • Bachelor’s degree in Business Administration, Accounting, Finance, Healthcare, or a related field

Summarized from the employer's posting — check the full posting for every requirement.