Independently lead financial and reimbursement analysis, evaluating rate proposals, payer contract terms, and health plan methodologies to identify optimization opportunities
Develop and maintain advanced financial reporting using EPSi, SQL, Epic Clarity, and Power BI to assess contracted rates, reimbursement trends, and performance metrics
Manage end-to-end rate review processes and collaborate with contract modeling teams to ensure accurate implementation of negotiated terms within pricing and contract management systems
Monitor data integrity across financial systems, proactively improving processes, and providing insights and recommendations to Contracting leadership based on payer reporting trends
Maintain expertise in reimbursement methodologies, payer policies, and regulatory requirements while supporting system-wide financial projects, special initiatives, and committee activities