Market Access Payor Analyst (Healthcare)

TL;DR

Market Access Payor Analyst (Healthcare): Analyzing and resolving reimbursement issues for assigned payors and products with an accent on trend identification and payment performance improvement. Focus on deriving logical conclusions from large datasets and implementing strategies to reduce claim denials.

Location: Remote (USA)

Salary: $90,000 – $112,500

Company

hirify.global is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

What you will do

• Profile, research, and resolve reimbursement issues for assigned payors, products, or lines of business.
• Analyze payor behaviors and reimbursement patterns to identify trends, risks, and opportunities.
• Develop strategies to improve reimbursement and reduce claim denials based on analytical findings.
• Create custom dashboards and visualizations using Power BI and SQL to monitor key metrics.
• Collaborate with cross-functional teams including Finance, Billing, and Product Leads to manage multiple projects.
• Perform complex forecasting, sensitivity analysis, and what-if scenarios to optimize business performance.

Requirements

• Bachelor’s Degree in a healthcare-related field of study or equivalent experience.
• Minimum of 5 years of experience in revenue cycle or claim analysis.
• Proficiency with medical billing systems, Microsoft Excel, and reporting software.
• Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
• Must be based in the United States.

Nice to have

• Project management experience.
• Experience with Power BI and SQL.

Culture & Benefits

• Comprehensive medical, dental, vision, life, and disability plans.
• 401k and commuter benefits.
• Free genetic testing for employees and immediate families, including fertility care benefits.
• Pregnancy and baby bonding leave.
• Generous employee referral program.