System Manager Payer Analytics Economics Job at American Nursing Care (Rancho Cordova)

System Manager Payer Analytics Economics

Provide strategic leadership and expert oversight for all aspects of our organiz...

Location

United States , Englewood

Salary:

49.78 - 70.05 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Bachelors Other Business Administration, Accounting, Finance, Healthcare or related field or Equivalent education and experience in related field(s) may be considered in lieu of degree
Five (5) years of experience in contributing to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and/or healthcare operations
Two (2) years of experience in a supervisory role
Strongly prefer hospital or managed care experience
Strongly prefer some experience with SQL queries and strong Excel. EPIC experience a big plus.

Job Responsibility

Provide strategic leadership and expert oversight for all aspects of our organization's payer relations and contracting
Manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers across our system
Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff
Oversee quality control and quality assurance of Payer Analytics & Economics analytics deliverables and financial models to support the negotiation and implementation of appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives
Review and accurately interpret contract terms, including payer policies and procedures to appropriately contract performance and influence strategic pricing strategies
Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability
Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer strategy and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes
Oversee and prepare complex service line reimbursement analyses and financial performance analyses. Develop methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provisions, parameters and rate structures aimed at establishing appropriate reimbursement levels. Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision making activities.

What we offer

Medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Senior Analyst of Strategic Analytics

The Senior Analyst of Strategic Analytics is responsible for supporting the orga...

Location

United States , Phoenix

Salary:

109000.00 - 128000.00 USD / Year

Atlas Healthcare Partners

Expiration Date

Until further notice

Requirements

Requires a Bachelor’s degree in Business, Finance or related field
Requires a proficiency level typically attained with 4 or more years’ experience in Managed Care or Healthcare analytics preferred
Requires strong interpersonal, leadership and communication/presentation skills

Job Responsibility

Ability to assess and evaluate the financial impact results of managed care contract reimbursement rates and terms while being able to clearly articulate the results to leadership
Ability to prepare, clean and manipulate large datasets to prepare for evaluating volume, revenue/reimbursement across multiple payors
Analyzes, evaluates, and prepares contract rates and terms when needed through various payer proposals and counter proposals during negotiations
Supports JV health systems managed care contracting teams through developing financial models and rates to assist in the strategy and negotiations
Conducts adhoc analyses to address emergent issues and in support of stakeholder
Perform analyses to assist in developing the story to explain how ASC’s are performing while being able to identify trends and opportunities
Assists in developing new processes and tools to support our growing organization
Assists in business development analytics to forecast volume and revenue projections related to acquisitions, de novo’s across our health system partners
Develop statistical, economic, and financial analyses from data to evaluate performance and drive relevant business or clinical initiatives. Analyze data for trends, observations, improvements and make recommendations
Monitors, analyze, trends, reports and implements actions to improve operational KPI metrics

What we offer

industry-leading health and dental benefits
matching retirement package

Fulltime

Vice President, US Market Access

This role will be responsible for all payer access, pricing, contracting, channe...

Location

United States , Morristown

Salary:

Not provided

Alfasigma

Expiration Date

Until further notice

Requirements

Bachelor’s Degree required
Master’s Degree preferred
10+ years of leadership experience in Market Access in the pharmaceutical/biopharmaceutical industry
Proven high achievement in national account management, direct contract strategy, negotiations, business development, and strategic planning
Ideally the candidate has therapeutic experience in liver, metabolic and/or cardiovascular disease
Demonstrated ability to change payer perception of a market and in particular to establish unmet needs and the use of surrogate endpoints
Commercial leadership experience
Demonstrated success in a small but fast growing, entrepreneurial commercial environment
Expertise in public policy and external communication
Proven ability of successfully managing complexity across multi-functional reports and building strong relationships

Job Responsibility

Lead the development of the Market Access strategy for any future marketed products in the U.S.
Advise senior leadership on key access policies and reimbursement practices affecting corporate objectives, qualify and quantify risks and opportunities and make recommendations for specific action for Intercept to take
Ensure payer requirements appropriately incorporated relevant R&D activities, including regulatory and clinical development
Develop value dossier and core economic models, including but not limited to burden of disease, cost effectiveness
Provide clarity to Medical Affairs on the Health Outcomes and Real World Evidence data requirements to support access and partner with them closely to ensure deliverables are relevant
Recommend access strategy working closely with broader commercial organization to define strategic options, including launch sequence, pricing, target patient segments, government regulatory implications
Chair the pricing committee and serve as a voting member
Where possible, co-ordinate the implementation of early patient access program both pre and post marketing authorization are in place in partnership with medical and regulatory
Work with global and local Business Development teams to provide input to the commercial assessment of potential assets, develop early access strategy and support distributor partners as required
Ensure generation of additional data required to support plans through clinical development and medical affairs

What we offer

competitive salary
comprehensive benefits
extensive opportunities for professional growth and development

Finance Manager, Health

The finance team at Babylist is growing! In this new role, Finance Manager, Heal...

Location

United States

Salary:

136120.00 - 163344.00 USD / Year

Babylist

Expiration Date

Until further notice

Requirements

7+ years of FP&A experience in high-growth consumer technology, e-commerce or health
Proven ability to build and scale financial processes, such as forecasting models and weekly pacing, from the ground up, particularly in high-growth environments
Experience in both private and public companies highly valued
Strong analytical rigor with advanced financial modeling skills and ability to work with imperfect data to drive improvements
Excellent communication and data visualization skills to translate complex financial insights for cross-functional partners and executives
Advanced proficiency in Excel, Netsuite, and Business Intelligence tools like Sigma
Demonstrated expertise in synthesizing large datasets from business intelligence platforms and financial systems to enable data-driven planning and monitoring
Experience with pricing analysis and strategy development, including competitive positioning and price elasticity modeling
Strategic thinker who can unlock action from insights and influence business decisions
Comfortable and enthusiastic about working in an AI-forward environment

Job Responsibility

Own financial management for the health business, including order economics, pricing strategy, and payer mix optimization
Build and scale processes to support the growing health business, establishing frameworks where none exist today
Lead the exploration and development of Babylist's pricing strategy for 2026, including research into pricing tools, competitive analysis, and recommendation of strategic direction
Drive improvements in data quality and deliver actionable insights that inform leadership and drive measurable business outcomes
Partner closely with cross functional teams to optimize pricing and connect health offerings to the registry base
Deliver accurate financial models, forecasts, and business insights that influence strategic decision-making
Prepare monthly business reviews highlighting key insights on sales, margins, and trends—connecting financial data to actionable business outcomes
Ensure data integrity of key metrics through collaboration with Data team
Prepare financial reporting including dashboards, KPI tracking, and executive-level variance analysis
Design and implement reporting frameworks to enhance operational transparency

What we offer

Competitive salary with equity and bonus opportunities
Company-paid medical, dental, and vision insurance
Retirement savings plan with company matching and flexible spending accounts
Generous paid parental leave and PTO
Remote work stipend to set up your office
Perks for physical, mental, and emotional health, parenting, childcare, and financial planning

Fulltime

Director of Sales – Revenue Cycle Management (RCM)

We are seeking a high-performing Director of Sales to lead our enterprise growth...

Location

United States , Oak Brook, Illinois

Salary:

160000.00 - 220000.00 USD / Year

Jorie AI

Expiration Date

Until further notice

Requirements

7–12+ years of healthcare sales experience with a focus on Revenue Cycle Management
Proven success closing enterprise-level RCM deals
Demonstrated ability to build and present financial pro formas
Experience selling to: CFOs, Revenue Cycle VPs, Health system executives
Strong understanding of payer dynamics and hospital economics
History of carrying and exceeding a strategic enterprise quota

Job Responsibility

Own and close complex, multi-stakeholder RCM deals with hospitals, IDNs, and large multi-specialty groups
Lead executive-level discovery conversations focused on financial and operational pain points
Drive full sales cycle from discovery → pro forma → contract → close
Position platform-driven, automation-first RCM versus labor-heavy or point-solution competitors
Build client-specific pro formas
Quantify ROI
Defend assumptions confidently with CFOs and finance teams
Adjust pro formas based on payer mix, service lines, and client sophistication
Demonstrate strong understanding of the full RCM lifecycle
Collaborate with internal ops, analytics, and implementation teams to ensure alignment between sales promises and execution

What we offer

Growth advancement opportunities
Flexible work environment (Work-life Balance)
Collaborative and friendly company culture

Fulltime

Associate Director, Value Assessment – Independent Physician Associations Vaccines- US WEST

Join the team protecting half a billion lives every year with next-gen science, ...

Location

United States , Remote

Salary:

148500.00 - 214500.00 USD / Year

Sanofi

Expiration Date

Until further notice

Requirements

Bachelor's degree required
5+ years of experience in market access, payer engagement, or health economics related function (Vaccines a plus)
Must have experience navigating health systems and Independent Physician Associations or other risk-bearing entities
Vast understanding of commercial payer reimbursement and risk-barring methodology
Financial experience, vaccines understanding
Strong understanding of financial analysis/economic modeling
Attention to building and maintaining customer relationships to achieve success
Demonstrates Executive Presence in all types of interactions, boardrooms, in-person & remote
Collaborates across functional, geographic, and company boundaries to meet mutual business objectives
Continually focuses on the performance and development of oneself and others to enhance the talent of the company

Job Responsibility

Engage with C-suite level decision makers across Risk-based organizations (RBO) and Independent Physician Associations the use of Sanofi portfolio
Maximize the understanding of the economic value of Sanofi Vaccines products and demonstrate the clinical and economic value to customers in a compelling way according to their financial, quality and clinical objectives
Develop and update targeting and profiling in the assigned geography
Identify the optimal IPAs and RBOs with the highest probability of success of engagement
Map key decision makers within the IPAs and RBOs, noting any overlaps with other Sanofi customers or providers
Continuously assess trends in risk-based contracting and alternative payment models that influence opportunities within IPAs and similar entities
Identify strategy and tactics to payers when appropriate
Develop engagement strategy and tactics based on sound rational using available data sources, the collective intelligence of cross-functional teams and learnings from external sources
Document and share insights from IPA and RBO engagements to help inform Sanofi’s broader Market Access strategy
Contribute to refining the value proposition for the different types of RBOs, including IPAs, shifting conversations from cost only to health economics analysis, models, budget impact models, reimbursement arguments and clinical efficacy

What we offer

Company car through the Company’s FLEET program
Wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs
At least 14 weeks’ gender-neutral parental leave

Fulltime

Associate Director/Director, Market Access

This role supports the global development and execution of market access and pri...

Location

United Kingdom , London

Salary:

Not provided

Theramex

Expiration Date

Until further notice

Requirements

Advanced degree in health economics, economics, public health, medicine, or pharmacy
Extensive experience in market access or health economics, with knowledge of reimbursement systems across major European HTA markets (England, Ireland, Nordics, Netherlands)
Excellent analytical, strategic thinking, and problem‑solving abilities
Proven experience developing market access strategies and leading reimbursement negotiations in key EU markets
Strong understanding of health economic modelling, evidence‑based medicine, and HTA processes
Fluency in English
Experience supporting evidence‑generation projects for Market Access
Familiarity with innovative reimbursement approaches (Managed Access Agreements, outcomes‑based agreements, innovative contracting)
Strong organisational skills with the ability to manage multiple priorities and maintain attention to detail
Strong interpersonal abilities and relationship‑building skills with stakeholders at all levels

Job Responsibility

Support the Head of Global Market Access & Pricing in developing market access strategies across multiple countries, including the EU, Nordics, UK, Ireland, and Central & Eastern Europe
Manage HTA and pricing submissions from preparation through delivery
Drive market access initiatives to enable successful product launch, uptake, and long‑term sustainability
Collaborate with pricing consultants to support pricing analyses, recommendations, and implementation
Monitor market access landscapes and policy changes to anticipate risks and opportunities
Coordinate cross‑functional input (Medical, Regulatory, Marketing, Finance) for submissions and access strategies
Support the development of value dossiers, reimbursement arguments, and payer‑relevant materials
Track pricing and reimbursement status across regions and maintain up‑to‑date internal documentation
Contribute to budget impact models, cost‑effectiveness analyses, and payer evidence needs
Assist in preparing materials for payer meetings, advisory boards, and negotiation preparations

What we offer

25 days holiday + 8 bank holidays
Private Health Insurance for employee and family members
Pension contribution: 10% company + 5% employee (auto-enrolled from day one)
Hybrid Working
Cycle to Work Scheme
Engaging employee experience to come together as a community: in-office events, shared learning and much more!

Fulltime

Senior Analyst

ATI Advisory is seeking a Senior Analyst to join our growing team. This role is ...

Location

United States , Washington, DC

Salary:

Not provided

ATI Advisory

Expiration Date

Until further notice

Requirements

Graduate degree preferred (public policy, public health, public administration, business, economics, or related field)
2–6 years of relevant experience in consulting, provider strategy, managed care, or health policy analysis
Strong research and analytic skills — both qualitative and quantitative — with a proven ability to synthesize findings into strategic recommendations
Ability to lead tasks, design and execute projects, and mentor junior team members
Exceptional skills in developing and delivering high-quality, client-ready PowerPoint presentations and written reports
Expertise in at least one of the following: Traditional Medicare, Medicare Advantage, value-based care, complex care, long-term care, health plan strategy/operations, or provider strategy/operations
Comfort engaging directly with clients, including presenting findings and facilitating discussions
High initiative and professional maturity, with a strong sense of ownership

Job Responsibility

Partner with senior leaders on client engagements spanning, provider systems, and Medicare/Medicaid policy
Apply critical thinking and creativity to complex problems in data, policy, and strategy
Conduct rigorous qualitative and quantitative research, synthesizing findings into actionable insights for clients
Analyze legislation, regulations, and policies (e.g., Medicare payment rules, PACE, Medicare Advantage, value-based payment, provider payment reform) and assess implications for payers, providers, and markets
Create polished, client-ready deliverables — reports, policy briefs, and compelling PowerPoint presentations — that turn complex analysis into clear narratives and visuals
Take ownership of your work from start to finish across multiple projects and tasks, ensuring accuracy, clarity, and driving client value
Present analyses and recommendations directly to clients and stakeholders
Contribute to ATI’s thought leadership, including external publications, presentations, data analysis synthesis, and commentary on policy and market trends

System Manager Payer Analytics Economics

American Nursing Care

Location:
United States , Rancho Cordova

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 18, 2026

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