Top 8 Pricing analyst Jobs in Watertown Ny

Payer Payment & Reimbursement Analyst
Signature Performance, Inc —United States
- $99,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
14d
Principal Broadband Consultant
CTC Technology & Energy —United States
- $85,000 - $150,000 a year
- Full-time
- Remote
- Background check
- Management
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Principal Broadband Consultant / Program Manager
CTC Technology & Energy —United States
- $85,000 - $150,000 a year
- Full-time
- Remote
- Background check
- Research
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply

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You'll analyze margin and landed cost at the order and SKU level, quantify the impact of cost and price changes, keep the pricing sheets and tools the business…

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Payer Payment & Reimbursement Analyst

Signature Performance, Inc -
United States

Quick Apply

Job Details

Full-time
$99,000 a year
14 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Paid sick time

Qualifications

Requirements specification
Requirements design
Health insurance policy knowledge
Requirements analysis
Cross-functional collaboration
Medical billing regulations compliance
Project stakeholder communication
Cross-functional communication

Full Job Description

About You

The Payer Payment and Reimbursement Analyst will work with the team members in healthcare payment & reimbursement methodologies, laws and regulations under the mentorship and guidance of the Project Manager.

Tell us about your experience with Payment and Reimbursement Methodologies.
Are you a team player and a self-motivator?
What is your experience with conducting business in a way that is credit to a company?
We are counting on you to manage multiple projects using your problem-solving skills.
We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

About the Position

Configure and maintain payment, pricing, and contract logic within healthcare reimbursement systems to ensure accurate claims adjudication.
Analyze vendor bulletins, regulatory updates, and system changes to assess impact on internal processes, products, and data systems.
Review and evaluate large healthcare data sets to identify trends, anomalies, and required system or process changes.
Interpret Medicare, VA, CHAMPVA, and TRICARE policies, including rulings, transmittals, bulletins, manuals, and physician fee schedule data files.
Collaborate directly with government agencies to clarify new or existing reimbursement and payment policies.
Translate reimbursement policy updates and payment methodology changes into clear, actionable business requirements for software design and system configuration.
Develop complex Excel models and formulas to validate, explain, and support payment methodologies.
Identify claim data characteristics required for testing pricing logic and configuration accuracy.
Partner with Developers, QA, Data, and Client Services teams to ensure requirements are implemented accurately and on schedule.
Create and execute test claims for development, UAT, QA, and configuration validation.
Perform configuration testing and troubleshoot pricing or payment discrepancies.
Maintain deep knowledge of company products, data, and services, including commercial contracting and reimbursement features.
Independently evaluate and resolve complex pricing and reimbursement issues while managing multiple priorities.

Core Competencies

Strong analytical and critical-thinking skills
High attention to detail and quality
Ability to synthesize complex policy and data into practical solutions
Effective collaboration and communication
Self-directed with strong prioritization skills

Minimum Requirements

3-4 years of professional experience in healthcare provider payment and reimbursement.
Working knowledge of healthcare billing, compliance, and payer reimbursement regulations.
Experience with professional and institutional payment fee schedules, including but not limited to:
- Experience with Prospective Payment Systems (PPS), including:
  - DRG, OPPS, Skilled Nursing, Home Health, Hospice, and ASC
Knowledge of:
- Critical Access, Sole Community
- Behavioral Health
- Inpatient Rehabilitation/Outpatient Rehabilitation
- Long Term Care Hospital
- Federally Qualified Health Center
- Physician Fee Schedule, DME/DEMPOS, Ambulance, AWP, Lab, ESRD, Hospice, Home Health, Anesthesia, ADA
- Integrated Outpatient Code Editor (I/OCE)
Ability to collect, research, interpret, and document complex information into clear and concise business requirements.
Strong interpersonal and cross-functional collaboration skills.
Working knowledge of provider types, specialties, and their applicable reimbursement methodologies.
Ability to communicate effectively with diverse internal and external stakeholders.
SQL reporting experience preferred.

Preferred Requirements

Proficiency in Microsoft Office applications (Teams, Word, Excel, PowerPoint, Visio, Access).
Experience using web-based research tools and regulatory resources.
Knowledge of claims adjudication and payment workflows.
Experience configuring TriZetto Facets NetworX.
Experience configuring Optum Rate Manager.

About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

About the Benefits

When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.

Health Insurance
Fully Paid Life Insurance
Fully Paid Short- & Long-Term Disability
Paid Vacation
Paid Sick Leave
Paid Holidays
Professional Development and Tuition Assistance Program
401(k) Program with Employer Match

Requirements:

U.S. Citizenship or naturalized citizenship is required for this position.
All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Compensation: $99,000/Annually
Additional Details : TBD

Full Time

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Professional development assistance
Tuition reimbursement
Vision insurance

Work Location: In person

Quick Apply

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pricing analyst jobs in watertown ny

Payer Payment & Reimbursement Analyst

Principal Broadband Consultant

Principal Broadband Consultant / Program Manager

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