Provider Payment Analyst II
Partnership HealthPlan of California · Fairfield, California, US
Overview Under the direction of the Provider Payment Strategy Manager, this position will support thedevelopment, evaluation, and advancement of provider rei...
Job description
Overview Under the direction of the Provider Payment Strategy Manager, this position will support thedevelopment, evaluation, and advancement of provider reimbursement methodologies to alignwith organizational strategies and objectives, including performance and alternative paymentapproaches, and advise executive-level leadership regarding the feasibility of various strategies.This position will require the utilization of a variety of methods, models, and data sources toevaluate potential reimbursement methodologies and rates, will provide organizational educationrelated to Partnership’s network provider reimbursement, act as a subject matter expert, inform thedevelopment, maintenance, and implementation of business unit policies and procedures, andperform other duties as assigned. Responsibilities: ▪ Supports the development, evaluation, and advancement of provider reimbursementmethodologies to align with organizational strategies and objectives, including performanceand alternative payment approaches, and advises executive leadership regarding thefeasibility of various strategies and methodologies, with duties including but not limited to:o Identifies strategies and tactics to ad...