Senior Healthcare Payer Performance Analyst

Guidehouse

. Analyze physician, facility, and ancillary contract terms, claims data, fee schedules, and reimbursement outcomes.

Posted 10/9/2026full-timeRemote • United StatesSenior💰 $89,000 - $148,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare data analysis, reimbursement analytics, and contract management, with a strong ability to perform root-cause analysis and present actionable insights. Proficient in utilizing advanced analytical tools and methodologies to drive improvements in payer contract performance and reimbursement accuracy.

Highest-signal resume keywords

Healthcare Data AnalysisReimbursement AnalyticsContract ManagementRoot-Cause AnalysisAdvanced Microsoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Reimbursement ConceptsPayment Variance AnalysisContract InterpretationMedical TerminologyHealthcare Coding ConceptsCPTHCPCSICDRevenue CodesData Analysis

Soft Skills

Analytical SkillsCritical ThinkingCommunication SkillsAttention to DetailSound Judgment

Tools & Technologies

Business Intelligence ToolsAnalytics ToolsMicrosoft OfficeFinThriveEpic

Industry Keywords

Payer/Provider ContractingRevenue CycleManaged CareHealthcare OperationsClaims Data

About the role

Key responsibilities & impact

Analyze physician, facility, and ancillary contract terms, claims data, fee schedules, and reimbursement outcomes.
Develop data-driven analyses to identify trends, variances, discrepancies, and financial or operational impacts related to payer contract performance and reimbursement accuracy.
Perform root-cause analysis using contract requirements, claim details, payment data, and operational workflows.
Use Excel and business intelligence or analytics tools to organize, validate, interpret, summarize, and present complex healthcare data.
Lead analysis workstreams, synthesize findings, prepare deliverables, and present conclusions and recommendations.
Partner with contracting, reimbursement, operations, analytics, and leadership teams to clarify requirements and resolve issues.
Manage multiple priorities while maintaining accuracy, attention to detail, sound judgment, and timely delivery.

Requirements

What you’ll need

Bachelor’s degree in healthcare administration, business, finance, or a related field.
5–7+ years of experience in healthcare data analysis, reimbursement analytics, contract management, managed care, revenue cycle, payer/provider contracting, or a related healthcare operations environment.
Strong understanding of healthcare reimbursement concepts, provider and payer contract language, fee schedules, contract interpretation, and how contract terms translate into data and payment outcomes.
Experience performing payment variance analysis, root-cause analysis, and issue resolution in a healthcare setting.
Advanced analytical and critical-thinking skills, including evaluating large or complex data sets and translating findings into recommendations.
Strong knowledge of medical terminology and healthcare coding concepts, including CPT, HCPCS, ICD, and revenue codes.
Advanced Microsoft Excel and Office proficiency.
Experience with business intelligence, reporting, or analytics tools is preferred.
Excellent written, verbal, communication, and presentation skills.
Ability to work independently, exercise sound judgment, manage high-complexity analytical assignments, and communicate risks, findings, and recommendations effectively.
Experience with FinThrive is nice to have.
Experience with Epic is nice to have.
Travel required up to 10%.

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Flexible benefits package