Market Access Payor Analyst
OR · Remote
$20 - $27.25/hr
Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other ... read printed material.
OR · Remote
$20 - $27.25/hr
Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other ... read printed material.
OR · Remote
$20 - $27.25/hr
Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other ... read printed material.
OR · Remote
$68.90K/yr
This is a remote position. The Interpreter works from his/her home-office. It is essential to ... Demonstrate commitment to cultural sensitivity and working in a diverse environment. Qualifications
OR · Remote
$68.90K/yr
This is a remote position. The Interpreter works from his/her home-office. It is essential to ... Demonstrate commitment to cultural sensitivity and working in a diverse environment. Qualifications
Vice President of Stop-Loss Underwriting Work a remote work schedule. Build a career with purpose ... read the self-funded employer stop loss marketplace with regards to rate sensitivity and product ...
Vice President of Stop-Loss Underwriting Work a remote work schedule. Build a career with purpose ... read the self-funded employer stop loss marketplace with regards to rate sensitivity and product ...
Vice President of Stop-Loss Underwriting Work a remote work schedule. Build a career with purpose ... read the self-funded employer stop loss marketplace with regards to rate sensitivity and product ...
Vice President of Stop-Loss Underwriting Work a remote work schedule. Build a career with purpose ... read the self-funded employer stop loss marketplace with regards to rate sensitivity and product ...
| Aspect | Remote Sensitivity Reader | Remote Data Analyst |
|---|---|---|
| Required Credentials | Typically requires expertise in sensitivity analysis, environmental or social sciences, and relevant certifications | Requires strong statistical, analytical, and data management skills, often with degrees in data science, statistics, or related fields |
| Work Environment | Focuses on reviewing content, reports, or data for sensitivity issues remotely, often in publishing or research settings | Analyzes large datasets remotely, providing insights for business or research purposes |
| Industry Usage | Common in publishing, environmental research, and social sciences | Widely used across finance, marketing, healthcare, and technology sectors |
The main difference is that Remote Sensitivity Readers focus on evaluating content or data for sensitivity concerns, often in research or publishing, while Remote Data Analysts interpret large datasets to inform decisions across various industries. Both roles require analytical skills but differ in their specific focus and application.

$20 - $27.25/hr
Other
This job post has expired 1 day ago. Applications are no longer accepted.
7.7
Based on 35 frontline employees who took The Breakroom Quiz
47th of 103 rated laboratories
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 various systems and portals
internal and external.
Investigate designated payors' literature and agencies, and stay current on new indicators, such
as state statutes, laws, and other requirements.
Develops strategies to improve reimbursement and reduce denials for assigned payors based on
trends and analysis findings.
Identifies areas of opportunities for process improvements, automation, and efficiencies.
Creates management reports and custom dashboards & visualizations.
Initiates and supports projects, initiatives, solutions, and other change management.
Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other
analyses.
Partner with multiple internal cross-functional teams and successfully manage multiple product
projects simultaneously.
Presents information, analysis, updates, financial risks, and recommendations to a specific
audience.
Performs analysis of operational, production, financial, and other data.
Analyzes payor behaviors, systems, and processes in reimbursement to optimize performance.
Ensure data integrity and control over business processes by developing data management best
practices.
Operationalize business intelligence solutions to highlight strengths and opportunities to meet
organizational strategies, objectives, and goals.
Analyze large data sets of structured, semi-structured unstructured data to discover data insights
and collaborate with business partners to deliver business value.
Participates in weekly meetings to review key metrics, workflows, trends, payor performance
improvement opportunities, and strategies.
This role works with PHI regularly both in paper and electronic form and has access to various
technologies to access PHI (paper and electronic) to perform the job.
Qualifications:
Bachelor's Degree healthcare-related field of study or equivalent experience.
Minimum of 5 years of experience in revenue cycle or claim analysis
Project management experience preferred.
Knowledge of CPT/HCPCS. ICD-10, modifier selection, and UB revenue codes.
Knowledge, Skills, and Abilities:
Proficiency with medical or claim billing systems, Microsoft Excel, reporting software, and basic
procedure coding knowledge.
Experience with PowerBi and SQL is desired.
Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
Strong communication (verbal and written), organizational, problem-solving, and team player
skills.
Knowledge of the appeal process and procedures.
Ability to navigate across multiple customer demands and balance competing priorities
successfully.
Ability to analyze, identify, and articulate identified trends and report trends succinctly clearly, and
concisely.
Ability to independently solve complex problems using critical thinking skills.
Maintains confidentiality of sensitive information.
Analytical skills required.
Ability to develop, implement, and produce complex analyses and reports.
Physical Demands & Work Environment:
Duties are typically performed in a remote office setting. This position requires the ability to use a computer keyboard, communicate over the telephone and read printed material.