Payer Analytics Consultant

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Job Description

INTEGRIS Health Partners, with Oklahoma's largest not-for-profit health system, has a great opportunity for a Payer Analytics Consultant in Oklahoma City, OK. In this position, you'll be part of our Population Health team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

The Payer Analytics Consultant is a strategic partner and subject matter expert in payer data analytics, driving actionable insights that directly influence INTEGRIS Health's network strategy, value-based care initiatives, and financial performance. This role leverages advanced analytics, financial modeling, and data visualization to evaluate payer performance, optimize reimbursement strategies, and identify opportunities for cost containment and quality improvement. The Consultant collaborates closely with executive leadership, clinical teams, and payer relations to inform high-impact decisions, enhance patient care, and ensure regulatory compliance, including HIPAA.

INTEGRIS Health is an Equal Opportunity / Affirmative Action Employer.

Responsibilities

• The Payer Analytics Consultant responsibilities include, but are not limited to, the following :
• Serve as a strategic advisor on payer performance and reimbursement strategies, translating complex claims and financial data into actionable insights.
• Lead advanced data analyses to identify trends in cost, utilization, and payer performance, driving recommendations for network optimization and contract negotiations.
• Develop and maintain comprehensive scorecards, dashboards, and financial models to track key performance indicators, value-based care outcomes, and quality metrics.
• Partner with clinical and operational leadership to identify opportunities to improve patient outcomes, operational efficiency, and financial performance.
• Provide high-level recommendations for payer strategies, including value-based contact negotiations, utilization management, and quality improvement initiatives.
• Ensure timely, accurate reporting and visualization of key analytics to support strategic decision-making at the executive level.
• Drive initiatives to reduce healthcare costs through data-informed interventions, including optimizing care delivery, enhancing payer-provider alignment, and improving claims processing efficiency.
• Act as a thought leader on healthcare analytics, keeping abreast of emerging trends in payer dynamics, reimbursement methodologies, and regulatory requirements.

Working Conditions

Qualifications

REQUIRED QUALIFICATIONS

EXPERIENCE

EDUCATION

SKILLS

Preferred Qualifications

EDUCATION

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