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Payer Strategy Jobs in Florida (NOW HIRING)

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Payer Strategy information

What is a payer strategy?

A Payer Strategy job focuses on developing and implementing strategies to optimize market access, reimbursement, and pricing for healthcare products and services. Professionals in this role analyze payer landscapes, negotiate with insurance companies and government agencies, and ensure that products are covered and reimbursed effectively. They collaborate with cross-functional teams, including sales, marketing, and regulatory affairs, to align business objectives with payer requirements. The goal is to enhance patient access while maximizing revenue and maintaining compliance with industry regulations.

What are the typical responsibilities of someone working in a payer strategy role?

Professionals in Payer Strategy are responsible for developing and executing strategies to optimize relationships with health insurance payers, negotiate reimbursement contracts, and ensure organizational compliance with payer requirements. They often analyze market trends, assess payer performance metrics, and collaborate closely with clinical, financial, and legal teams to align contract terms with business objectives. This role frequently requires preparing data-driven presentations and recommendations for executive leadership. By managing these complex relationships and agreements, Payer Strategy professionals directly influence both the financial success and patient access to care within their organizations.

What are the key skills and qualifications needed to thrive in the payer strategy position, and why are they important?

To thrive in a Payer Strategy role, you need a strong background in healthcare economics, data analysis, and an understanding of health insurance and reimbursement models—often supported by a degree in business, public health, or a related field. Familiarity with contract management tools, claims analytics platforms, and healthcare regulatory systems such as CMS guidelines is common. Strategic thinking, negotiation skills, and the ability to build collaborative relationships are key soft skills for success. These abilities ensure effective payer partnerships, optimized reimbursement strategies, and alignment with broader organizational goals.

What are the most commonly searched types of Payer Strategy jobs in Florida? The most popular types of Payer Strategy jobs in Florida are:
What are popular job titles related to Payer Strategy jobs in Florida? For Payer Strategy jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Payer Strategy jobs in Florida look for? The top searched job categories for Payer Strategy jobs in Florida are:
Payer Strategy jobs near you
Infographic showing various Payer Strategy job openings in Florida as of August 2026, with employment types broken down into 91% Full Time, 6% Part Time, and 3% Contract. Highlights an 80% Physical, 5% Hybrid, and 15% Remote job distribution.

Payer Operations Analyst

Nicklaus Children's Health System

Miami, FL • On-site

Full-time

Posted 6 days ago

Job description

Description
Job Summary
The Payer Operations Analyst serves as lead support in system wide governmental and non- governmental payer performance analytics and negotiations, as well as other service line/operational/clinical/professional analytics. Utilizes various software, databases, BI/Data Visualization/Contract Modeling systems, and other applicable resources to meet or exceed objectives. Also works on cross functional initiatives with external collaborators/partners, as well as with internal teams, including but not limited to Finance, Decision Support, Strategy, Global Health, Revenue Cycle, Patient Access, Nicklaus Children's Pediatric Specialists LLC.
Job Specific Duties
  • Supports in the development and implementation of current, and future state, commercial, and governmental payer analytics reports.
  • Demonstrates expertise and leadership in performing/producing intricate financial analysis.
  • Responsible for continuous learning and development understanding of Statewide/National managed care and Medicaid payer trends in order to round out ability to produce well thought out and relevant and proactive analysis, with accompanying recommendations/observations for leadership.
  • Supports during managed care negotiations by ensuring proactive, timely and appropriate availability of all reporting and analytics for leadership.
  • Responsible for timely update and dissemination of a variety of departmental matrices, including but not limited to payer hospital and employed physician rates/participation, charge master increases/notification, behavioral health rates/participation, DPP payment tracking, as well as payer policies, bulletins and updates.
  • Responsible for production and coordination of reporting/analytics/research to support payer specific, system wide initiatives.
  • Supports in yearly managed care budget analysis and preparation.

Qualifications
Minimum Job Requirements
  • Bachelor's degree in Finance, Economics, Business Administration, Health Service Administration, or related field
  • 3-5 years of progressive experience in financial and data analytics

Knowledge, Skills, and Abilities
  • MBA or MHA preferred.
  • Required experience working with contract modeling systems(e.g. FinThrive, Epic Contract Modeling)
  • Strong analytical skills tied to an ability to understand and incorporate big picture ask in order to make appropriate, data driven recommendations
  • Experience in data analytics related to health plans and/or hospital finance and strategy
  • Background in Managed Care contracting on the provider or payer side a plus.
  • Intermediate to advanced level of proficiency in Microsoft Office suite business Intelligence (BI) and data visualization platforms (eg Tableau)
  • Ability to work in a high functioning environment with competing priorities and quick pivots without sacrificing quality of work product, all while maintaining a positive and welcoming attitude
  • Self- starter; consistently demonstrate judgment and initiative in decision making. Possess effective problem solving skills grounded in independent research but supported by appropriate guidance
  • Attention to detail, coupled with organization skills essential; timeliness and responsiveness to requests paramount
  • Effective communicator across all levels of the organization

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