Payer Ops Analyst

WHO YOU ARE 

You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Does this sound like you? If so, we should talk.

WHO WE ARE 

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients.

We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

YOUR ROLE 

As a Payer Operations Analyst, you will be responsible for supporting payer reporting and supporting project management and other tasks necessary to ensure smooth implementation of payer contracts.

PRIMARY FUNCTIONS

• Analyze new payer contracts
• Maintain manual operational workarounds for onboarding workflows
• Support and coordinate quality, reporting, operations, and other teams are executing to contract terms
• Execute on implementation plan and coordinate amongst stakeholders
• Provide support for ongoing management of value-based partnerships and monitor payer management issues
• Independently perform analysis of payer files and develop reports as needed by business

 HOW YOU QUALIFY

• You reviewed the Who You Are section of this job posting and immediately felt the need to read on. That makes you a match for our innovative culture
• You accept that things change quickly in an early-stage, high growth environment and are willing to pivot rapidly on priorities
• 2+ years performing analytical and reporting work in a high-growth healthcare startup and/or health plans
• Bachelor's degree preferred
• Strong experience with data analysis
• Strong relationship building skills with internal and external stakeholders
• Extremely proficient in Microsoft Office, specifically an expert in Microsoft Excel
• Excellent communication skills
• Experience in payer contracting review and analysis a plus
• Experience in project management a plus

Pay range for this role is $70,000 to $75,000, with exact pay determined based on experience, education, demand for role, and other role-specific criteria.

HOW YOU’RE SUPPORTED

• You will benefit from Evergreen Nephrology’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at four weeks for full-time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
• We are proud to offer family-friendly policies that support paid parental leave and flexible work arrangements.
• We commit to a robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology.
• As an inclusive and diverse team, you will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Evergreen Nephrology’s high-quality, value-based care model.

Evergreen Nephrology is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about your EEO rights as an applicant (Opens in a new window) .

Evergreen Nephrology will not discriminate or retaliate against applicants who inquire about, disclose, or discuss their compensation or that of other applicants. United States Department of Labor. Learn more (Opens in a new window).

Evergreen Nephrology is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email us for assistance. Reasonable accommodations will be determined on a case-by-case basis. 

Common characteristics of the people who comprise Evergreen Nephrology:

Smart, detail-oriented, mission-driven, entrepreneurial, and operates with urgency