Payer Data Analyst

INTEGRIS Health Partners, with Oklahoma’s largest not-for-profit health system, has a great opportunity for a Payer Data Analyst in Oklahoma City, OK. In this position, you’ll be a part of our INTEGRIS Health Partners & Population Health team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. 

The Payer Data Analyst manages the information and technological requirements of department. The Payer Data Analyst uses data analysis techniques to analyze healthcare claims and payer data, providing insights for improving operations, reducing costs, and optimizing reimbursement for healthcare providers.  The Payer Data Analyst also provides patient relations support. Ensures practices adhere to all aspects of HIPPA compliance.  The Payer Data Analyst also provides administrative and clerical support as needed.   

INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.

The Payer Data Analyst responsibilities include, but are not limited to, the following: 

• Uses knowledge of database structure and database query/reporting language to retrieve data and create reports as required by staff and other internal and external entities.

• Collect, analyze, and interpret data related to healthcare claims, payer networks, and reimbursement practices

• Manages data related to quality scorecards of various types and reports.

• Assures timely availability of scorecards and reports.

• Prepares scorecards and reports for presentation.

• Provides patient relations support as related to payer relations

• Identify trends in claims data, such as but not limited to cost drivers, utilization patterns, and payer performance

• Measure and report on key performance indicators related to claims processing, reimbursement rates, and patient outcomes

• Provide data-driven insights to inform strategic decisions related to network management, contract negotiations, and payer strategies

• Identify opportunities to reduce healthcare costs through data-driven interventions, such as optimizing utilization, negotiating better rates, and improving claims processing efficiency

• Analyze data to identify areas for improvement in patient care and quality of service

• Develop ad hoc financial models & reports to support various business decisions & processes

• Planning meetings, scheduling conference rooms, taking minutes, and managing calendars for payer meetings

Working Conditions:

• May sit up to 90% of the day

• May utilize a computer keyboard up to 6-8 hours per day

• May have additional or varied physical demand and/or respiratory fit test requirements

• All applicants will receive consideration regardless of membership in any protect status as defined by applicable state or federal law, including projected veteran or disability status

• Office environment with typical working hours; some overtime may be required during peak reporting periods.

• Reports to the department manager or director.

• Associates degree preferred

• A minimum of 2 years’ experience in related discipline required

• Experience with financial modeling.

• Exposure to data visualization tools such as Power BI or Tableau.

• Basic knowledge of accounting principles, financial statement analysis, or healthcare industry

• Proficient in Microsoft Office (e.g., Outlook, Excel, PowerPoint, Word).

• Must be able to communicate effectively in English (Verbal/Written).