Payer Contracting Data Analyst
Facility: Scripps Health Corp
Location: San Diego, CA (Remote)
Career Area: Quality
Employment Type: Full Time
Shift: Day
Job ID: 262003522
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Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers.
Healthcare is constantly changing and so is our workplace. Scripps Health continues to build a flexible work culture that supports a work-life balance consisting of flexible work schedules and full-time remote or hybrid remote opportunities in San Diego County. Now you can surround yourself, virtually, with people who are dedicated to making a difference in how we care for our patients, bringing your purpose to life through the work that you do.
Job Description
This is a full time, benefited, salaried role. This position is work-from-home.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2025.
- Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
- Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Why join this team?
The Payer Relations team plays a critical role in advancing Scripps Health’s financial strategy and long-term growth. We are looking for a Data Analyst to support our vision to transform payer relationships from transactional to strategic by leveraging data and analytics to predict, model and secure optimal reimbursement terms while achieving sustainable net revenue growth and margin targets.
Responsibilities include:
· Responsible for transforming complex payer data into actionable insights that drive smarter contract decisions.
· Analyze complex data sets, proactively explore insights, and clearly communicate findings to both clinical and operational stakeholders.
· Lead cross functional efforts across finance, strategy, and health system performance, to effectively negotiate, monitor, and optimize payer relationships.
· Provide the analytical foundation for strategic growth, lead reimbursement modeling, trend analysis, financial proposal development, contract term optimization, risk assessment, and payer performance audits.
· Direct business analysis for new and renewing payer contract negotiations, maintain payer contract portfolio reporting, and serve as a key partner to revenue cycle and other internal teams.
Required Education/Experience/Specialized Skills:
· Bachelor’s degree in business, math or health administration.
· 3 years broad-base healthcare experience with knowledge of healthcare products and services knowledge.
· Expert knowledge of Microsoft Excel, SQL and data manipulation.
· Excellent communication skills and exceptional relationship-building skills.
· Strong SQL and data manipulation skills, Detail-oriented with strong analytical abilities.
· Ability to work both independently and as part of a team.
· Strategic and critical thinking skills.
· Strong problem-solving skills and the ability to adapt
Preferred Education/Experience/Specialized Skills/Certification:
· Master’s degree in business, health administration, math or statistics preferred.
· Knowledge and understanding of EPIC, Business Intelligence reporting technologies, and data mart technologies and principles.
· Strong understanding of healthcare payer systems, reimbursement models, and insurance policies.
· Knowledge of CPT, HCPCS, ICD-10, facility revenue codes and healthcare claims data; experience with billing/payment systems.
· Experience maintaining expected reimbursement in contract management systems (e.g., EPIC).
· Ability to analyze data and make data-driven decisions.
· Knowledge of healthcare regulations and compliance standards.
· Proficiency in Strata Axiom contract management software and Epic EHR, including Cogito – Slicer Dicer
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
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About Us
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of health care. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Our people and their commitment to the highest standards of care are what define us.
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