Senior Finance Manager – Payer Strategy & Analytics

US Acute Care Solutions

. Serve as the key analytical partner to Payor Contracting, Revenue Cycle/AR Follow-Up, Legal, Finance, Accounting, and Operations on reimbursement strategy .

Posted 10/27/2026full-timeRemote • Ohio • United StatesSenior💰 $103,887 - $192,191 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in payor contracting analytics, financial modeling, and reimbursement strategies, with a strong focus on the No Surprises Act and arbitration processes. Capable of analyzing complex data sets to inform strategic recommendations and optimize revenue cycle operations.

Highest-signal resume keywords

Payor Contracting AnalyticsFinancial ModelingNo Surprises Act IDRAdvanced ExcelData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial ModelingData AnalysisBenchmarkingForecastingScenario ModelingClaims AdjudicationEmergency Medicine BillingSQLPythonR

Soft Skills

Interpersonal SkillsCommunication SkillsProblem-Solving SkillsTime ManagementOrganizational Skills

Tools & Technologies

PowerPivotPower BITableau

Industry Keywords

HealthcareRevenue CycleAR Follow-UpLegal ComplianceDispute ResolutionArbitrationIDR ProcessFee SchedulesEmergency MedicineHealth Policy

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Serve as the key analytical partner to Payor Contracting, Revenue Cycle/AR Follow-Up, Legal, Finance, Accounting, and Operations on reimbursement strategy
Build financial models and recommendations for payor contract negotiations, renewals, and terminations
Quantify in-network versus out-of-network scenarios by payor and market
Ensure revenue recognition, budgets, and forecasts reflect expected IDR, arbitration, and litigation outcomes
Own analytics for federal No Surprises Act IDR and state arbitration programs
Track dispute volume, eligibility, filing deadlines, cycle time, win/loss rates, award amounts, and return on dispute cost
Analyze CMS federal IDR Public Use Files and internal IDR determination data
Evaluate IDRE selection and determination patterns and recommend selection and objection strategies
Develop offer and rate strategies for IDR and arbitration submissions
Analyze and report payor contract performance, yield, rate benchmarks, escalators, and underpayments
Partner with AR Follow-Up and Revenue Cycle leaders to prioritize work queues and optimize dispute timing
Provide data analysis, underpayment and damages modeling, and exhibits for payor litigation and award enforcement
Monitor regulatory, legal, and industry developments and communicate business impact
Perform diligence revenue reviews of potential payor contracts and acquisitions
Design and maintain dashboards, performance metrics, and ad-hoc analyses
Develop analytics and data collection standards to ensure dispute, claims, and contract data integrity
Perform other duties as needed

Requirements

What you’ll need

Bachelor’s degree in Business, Finance/Accounting, Economics, Health Policy, Informatics, or a related field, or equivalent experience (MBA or master’s preferred)
At least 5 years of reporting, analytics, and business operations experience, preferably in the healthcare/provider space
At least 2 years of direct experience in payor contracting analytics, out-of-network reimbursement, or No Surprises Act IDR/state arbitration analytics
At least 2-3 years of leadership experience
Working knowledge of the No Surprises Act, the federal IDR process, the qualifying payment amount (QPA), and state surprise billing and arbitration frameworks
Ability to analyze large public and proprietary data sets and translate findings into clear strategy recommendations
Strong understanding of payor contracting, fee schedules, claims adjudication, remittance and EOB data, and emergency medicine professional billing and coding
Strong financial acumen and advanced analytical skills, including benchmarking, forecasting, and scenario and sensitivity modeling
Advanced Excel, PowerPivot, and a business intelligence tool such as Power BI or Tableau
Experience with SQL, Python, or R preferred
Strong business acumen and interpersonal skills
Excellent oral and written communication and presentation skills
Sound judgment in handling confidential, privileged, and protected health information
Ability to manage complex projects and achieve department goals
Superior time management, organizational, and problem-solving skills
Preferred: experience with emergency medicine or other hospital-based physician groups, and experience supporting litigation or arbitration with Legal and outside counsel
Ability to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds
Close visual acuity required
U.S. work location indicated by “Virtual USA”

Benefits

Comp & perks

Medical, dental, and vision insurance options
Health savings accounts (HSA) and flexible spending accounts (FSA)
401(k) employee and employer contributions
Paid time off, including vacation, sick leave, and company holidays
Paid parental leave & family support benefits
Short-term and long-term disability insurance
Life and accidental death & dismemberment (AD&D) insurance
Employee assistance programs & wellness resources
Bonus eligibility, equity, or other incentive programs, depending on the role