HCA Healthcare's Digital Transformation and Innovation team is focused on improving clinical outcomes, reducing manual workload, and expanding support for care teams through technology.
The Senior Data Analyst – Payer Contracting & Analytics analyzes payer contract, reimbursement, claims, and financial performance data to support managed care and payer contracting initiatives across the organization. This role partners with Managed Care, Revenue Cycle, Finance, and operational leaders to deliver insights that support contract negotiations, reimbursement optimization, payer performance monitoring, and strategic decision-making.
The role also supports data quality, integrity, standardization, reporting development, and financial analysis across payer-related reporting environments. This is a hybrid position based in Nashville, TN.
Bachelor's degree required.
Required experience
- 5+ years of healthcare analytics, managed care, payer contracting, reimbursement, revenue cycle, or related analytical experience
- 5+ years of experience working with healthcare claims, reimbursement, contract management, or financial data
Preferred qualifications
- Experience supporting payer contract negotiations, reimbursement analysis, contract modeling, or managed care strategy
- Advanced experience with SQL Server, data warehousing, business intelligence tools, and healthcare reporting solutions
- Strong understanding of healthcare reimbursement methodologies including DRG, APC, fee-for-service, value-based care, and managed care payment models
Core responsibilities
- Analyze payer contract, reimbursement, claims, and financial performance data to identify trends and revenue opportunities
- Develop dashboards, scorecards, and KPIs for payer performance and revenue cycle outcomes
- Support contract negotiations with financial modeling, benchmarking, and scenario analysis
- Monitor contract effectiveness and recommend reimbursement improvements
- Analyze denial trends, underpayments, payer mix, utilization patterns, and reimbursement variances
- Maintain documentation related to data sources, business rules, lineage, and reporting methods
- Perform data profiling, validation, and quality checks across reporting environments
- Present findings and recommendations to business leaders
Location
Nashville, Tennessee, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago