Payor Analyst

Job Summary

A company is looking for a Payor Analyst - Pharma Reimbursement Hub.

Key Responsibilities

• Maintain and manage the Payer Information Management System database, ensuring accuracy and alignment with reimbursement workflows
• Collect and validate insights on payer policies and requirements from cross-functional teams
• Assist the audit team by retrieving documentation for audit requests and supporting quality initiatives

Required Qualifications, Training, and Education

• 5+ years of professional work experience required
• Payer experience in healthcare reimbursement, PBM, or hospital setting preferred
• 3+ years of MS Office experience
• High School Diploma or GED required
• Knowledge of insurance plans including government payers (Medicaid, Medicare, Tricare) is beneficial