While this role is fully remote, preference will be given to candidates residing in Maine or the broader New England region.
In this role, you'll provide expertise in payer contract interpretation, reimbursement modeling, strategic pricing, and payment variance analysis across multiple reimbursement systems.
You'll provide analytical insight and financial expertise that directly support contract performance, reimbursement optimization, and organizational decision-making.Job Description:
What You'll Do
- Interpret payer contract terms and translate them into build specifications across multiple reimbursement systems.
- Analyze payment variances and reimbursement trends to identify systemic issues and support contract maintenance and pricing strategy.
- Perform contract modeling and financial scenario analysis to support budgeting, strategic pricing adjustments, reimbursement projections, and contract performance evaluation.
- Support strategic pricing initiatives and reimbursement analysis across commercial and governmental payer agreements.
- Collaborate with Reimbursement, Managed Care, Revenue Cycle, Finance, and system teams to resolve contract-related issues and ensure alignment with contractual intent.
What You Bring
- Bachelor's degree in Accounting, Finance, Healthcare Administration, or a related field strongly preferred.
- Minimum of 4+ years of healthcare finance, reimbursement, managed care, revenue cycle, or related analytical experience.
- Demonstrated understanding of payer reimbursement methodologies, contract interpretation, and financial analysis.
- Advanced Excel and Microsoft Office skills required.
- Strong analytical, problem-solving, and organizational abilities.
- Excellent communication and collaboration skills with a commitment to accuracy and continuous improvement.
$64,460 - $112,486
The salary range shown reflects the base salary for this position. Individual compensation is determined based on factors such as experience, qualifications, skills, and market considerations. We are proud to offer a competitive total rewards package designed to recognize our caregivers and support them in delivering exceptional care to the communities we serve.
Scheduled Weekly Hours:40Job Exempt: YesBenefits:
Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.
Physical Wellness:We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
Employees have access to industry-leading leave for new parents.
A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.
When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.
Financial Wellness:Access the wages you’ve already earned before payday with Payactiv, giving you greater flexibility over your finances.
Tuition Reimbursement is available to all employees to further develop skills and career.
We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.
Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.
Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .
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