The Market Access Payor Analyst is responsible for profiling, researching, and resolving reimbursement issues for assigned payors, products, or lines of business. This position performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for payment and performance improvement. Using data analytics, they derive logical conclusions and forecasts from implementing strategies that can improve business performance.
Primary Responsibilities:
● Formulates and develops presentations for project analysis needs from Finance, Billing, Market
Access, Product Leads, and other teams as required.
● Identify functions and barriers that affect ASP and revenue including identifying trends,
opportunities, and risks for all payors and products.
● Compares payor reimbursement patterns based on medical policies, contract language,
authorization requirements, and patient benefits.
● Researches complex benefits and insurance verification using var... Click Apply to read the full job description.