Senior Healthcare Strategy & Contracts Analyst

The ideal candidate blends technical expertise with strong communication and influencing skills to align diverse stakeholders and advance organizational success in a rapidly evolving healthcare landscape.

CORE RESPONSIBILITIES:

• Lead the development and execution of value-based contracting strategies in partnership with contracting, revenue cycle, value-based care, and clinical leadership, leveraging advanced analytics and data science to drive enterprise-wide results.
• Serve as a strategic advisor to the contract negotiations team, providing forward-looking analysis of historical and projected performance, and delivering actionable insights on contract proposals and counterproposals.
• Partner with the Value-Based Care Team to evaluate clinical performance and risk adjustment data across commercial and government payer models, identifying opportunities to optimize outcomes and inform future contracting strategies.
• Design and enhance supplemental payer data feeds to maximize clinical performance reporting and ensure accurate capture of all risk-adjustable conditions.
• Analyze reimbursement trends and variances by payer and contract, providing recommendations to senior leadership to inform strategic decision-making.
• Develop and maintain advanced forecasting methodologies for non–fee-for-service payments, including PMPM, quality incentives, and shared savings, ensuring accurate financial projections.
• Build, refine, and oversee predictive models to evaluate contract performance, identify improvement opportunities, and support strategic initiatives.
• Review and validate payer financial settlements, reconciling interim and year-end reports against clinical and operational performance, and advising leadership on resolution of discrepancies.
• Deliver executive-level insights and reporting on payer performance, profitability, and emerging risks to support strategic decision-making.
• Lead cross-functional solutions with Contracting, Finance, and Revenue Cycle teams to address complex reimbursement issues and implement sustainable solutions.
• Assess the impact of new payer policies, regulations, and programs, providing guidance to leadership on potential effects on reimbursement and operational performance.
• Maintain subject matter expertise on industry trends, reimbursement models, and payer policies, serving as a thought partner to executive and clinical leadership.

• Maintains strict confidentiality in alignment with HIPAA (Health Insurance Portability and Accountability) guidelines and InterMed policies.
• Perform other duties to support the mission, vision and values of InterMed.

MISSION AND VALUES:

• Follows InterMed’s mission to provide patient-centered primary care, putting the patient first to deliver high quality, high value care.
• Provide the highest quality care to our patients with a level of service that exceeds their expectations.
• Maintain a positive attitude and always treat our patients and each other with dignity and respect.
• Insist on honesty and integrity from each other and our business partners.
• Make teamwork a core component of our relationships between physicians, staff, and patients.
• Embrace change to better serve our patients.
• Use business practices that feature individual accountability and group responsibility to ensure delivery of high value healthcare.
• Have fun as we carry out our mission to serve.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Education:
  • 5–7 years of progressive healthcare experience, particularly in payer contracting, value-based care strategy, or healthcare finance, with demonstrated strategic responsibility.
  • Bachelor’s degree in healthcare administration, business, finance, or a related field required; Master’s degree or higher preferred
• Experience:
  • Leadership / Strategic Influence: Proven experience leading cross-functional initiatives across multiple departments and influencing executive-level decision-making to drive organizational strategy.
  • Advanced Analytics / Modeling: Demonstrated ability to develop forecasting tools, predictive models, and scenario analyses to guide payer contracting strategies and optimize value-based care performance.
  • Exceptional analytical skills with the ability to identify subtle trends in data, develop hypotheses, and translate findings into actionable insights.
  • Advanced analytical expertise with experience in predictive modeling, deductive reasoning, and scenario analysis to support strategic decision-making.
  • Strategic and creative thinker, capable of identifying subtle trends, developing hypotheses, and designing methods to analyze complex data sets and defend actionable conclusions.
  • Proven ability to lead cross-functional collaboration, working effectively with stakeholders across healthcare, data science, finance, legal, and population health.
  • Proficiency in data analytics tools and techniques, including SQL, Microsoft Excel, and data visualization platforms (e.g., Tableau, Power BI), with experience querying data directly from enterprise data warehouses.
  • Experience with clinical and claims data, including EMR systems, ICD-10, and CPT coding, and the ability to translate this data into actionable contracting insights.
  • Deep knowledge of healthcare reimbursement methodologies, including fee-for-service, capitation, shared savings, and other value-based payment models.
  • Excellent written and verbal communication skills, with the ability to synthesize complex analyses into executive-level recommendations.
  • Strong organizational and project management skills, including the ability to prioritize multiple initiatives, manage deadlines, and drive cross-functional projects to completion.
• License/Certifications:
  • N/A