{"id":3388851,"url":"https://alion.io/job/usacs-payer-strategy-analytics-senior-finance-manager","title":"Payer Strategy & Analytics Senior Finance Manager","company":{"id":2921118,"name":"USACS","domain":"usacs.com","url":"https://alion.io/company/usacs","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":103887,"max":192190,"currency":"USD","period":"year","gross":null,"usd_annual":192190},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Excel","optional":false},{"name":"Power BI","optional":false},{"name":"Python","optional":false},{"name":"SQL","optional":false},{"name":"Tableau","optional":false}],"status":"live","first_seen_at":"2026-10-27T00:00:00Z","employer_posted_date":"2026-10-27","last_verified_at":"2026-11-06T12:29:35Z","board_verified":true,"closed_at":null,"days_open":10,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":10},"description":"Job Posting Closing Date: Open until Filled\nWhere do you belong?\nYour career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.\nUSACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.\nJob Description\nGENERAL SUMMARY: The Payer Strategy & Analytics Senior Finance Manager is the organization’s analytical lead for payor contracting, out-of-network reimbursement, and the arbitration and litigation processes used to resolve payment disputes. The role provides financial tracking and data-driven decision support to scale out-of-network reimbursement through No Surprises Act (NSA) Independent Dispute Resolution (IDR), state arbitration, and litigation, and to optimize payor contract outcomes. Using CMS IDR Public Use Files and the group’s own arbitration data, the role provides decision support on IDR entity (IDRE) selection, offer and rate strategy, and AR follow-up to optimize reimbursement yield. As a reimbursement subject matter expert, the incumbent develops financial models and partners closely with Finance, Accounting, Legal, and Revenue Cycle leadership to ensure revenue projections and action plans are defensible and well understood.Location: Remote\nESSENTIAL JOB FUNCTIONS:\nServes as the key analytical partner to Payor Contracting, Revenue Cycle/AR Follow-Up, Legal, Finance, Accounting, and Operations on in-network and out-of-network reimbursement strategy\nBuilds financial models and recommendations to support payor contract negotiations, renewals, and terminations, including quantifying the impact of in-network versus out-of-network scenarios by payor and market\nEnsures revenue recognition, budgets and forecasts are reflective of expected outcomes from IDR, arbitration, and litigation, in accordance with the Company’s revenue recognition policy.\nOwns the analytics supporting out-of-network reimbursement through the federal No Surprises Act IDR process and state arbitration programs; tracking volume, eligibility, filing deadlines, cycle time, win/loss rates, award amounts, and return on dispute cost\nAnalyzes the CMS federal IDR Public Use Files and the group’s own IDR determination data to benchmark prevailing-party rates, offers versus awards, and award-to-QPA ratios by payor, service, geography, and IDRE\nEvaluates IDRE selection and determination patterns (fees, timeliness, and outcomes) and recommends selection and objection strategies\nDevelops and refines offer and rate strategies for IDR and arbitration submissions, including recommended offer amounts by service, payor, and market\nAnalyzes, tracks, and reports on payor contract performance; including yield per encounter, rate benchmarking (e.g., to Medicare, QPA, and commercial benchmarks), rate escalators, and underpayments\nPartners with AR Follow-Up and Revenue Cycle leaders to prioritize work queues, optimize open negotiation and IDR initiation timing, monitor payor compliance with payment of awards, and identify process improvements that increase yield\nProvides data analysis, underpayment and damages modeling, and exhibits in support of payor litigation and award enforcement, working closely with Legal and outside counsel\nMonitors and interprets regulatory, legal, and industry developments (e.g., CMS rulemaking, court decisions, state law changes, and payor behavior) and communicates the potential impact to business leaders\nPerforms diligence revenue review of potential payor contracts and acquisitions, including out-of-network exposure and dispute history\nDesigns and maintains dashboards, internal performance metrics, and ad-hoc analyses, and presents insights and recommendations to business leaders in clear, actionable terms\nDevelops and implements analytics and data collection standards and processes to ensure the integrity of dispute, claims, and contract data\nOther duties as needed\nKNOWLEDGE, SKILLS AND ABILITIES:\nWorking knowledge of the No Surprises Act, the federal IDR process, the qualifying payment amount (QPA), and state surprise billing and arbitration frameworks\nDemonstrated ability to analyze large public and proprietary data sets (such as the CMS IDR Public Use Files) and translate findings into clear strategy recommendations\nStrong understanding of payor contracting, fee schedules, claims adjudication, remittance and EOB data, and emergency medicine professional billing and coding\nStrong financial acumen and advanced analytical skills, including benchmarking, forecasting, and scenario and sensitivity modeling\nAdvanced Excel, PowerPivot and a business intelligence tool (e.g., Power BI or Tableau); experience with SQL, Python, or R preferred\nStrong business acumen and interpersonal skills\nExcellent oral and written communication and presentation skills, including the ability to explain complex data to executives, attorneys, and non-technical partners\nSound judgment in handling confidential, privileged, and protected health information\nIndependently driven, with the ability to manage complex projects and achieve department goals\nSuperior time management, organizational, and problem-solving skills\nEDUCATION AND EXPERIENCE:\nBachelor’s degree in Business, Finance/Accounting, Economics, Health Policy, Informatics, or a related field, or equivalent experience (MBA or master’s preferred).\nAt least 5 years of reporting, analytics, and business operations experience, preferably in the healthcare/provider space.\nAt least 2 years of direct experience in payor contracting analytics, out-of-network reimbursement, or No Surprises Act IDR/state arbitration analytics.\nAt least 2-3 years of leadership experience.\nPreferred: experience with emergency medicine or other hospital-based physician groups, and experience supporting litigation or arbitration with Legal and outside counsel.\nPHYSICAL DEMANDS:\nWhile performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.\nRequired to have close visual acuity to perform the job.\nSalary Range: $103,887-$192,190\nSalary Range:\n$103,887.00 - $192,191.00Salary may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.\nUSACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.\nBenefits may vary based on role, location, and employment status, but generally include:\nMedical, dental, and vision insurance options\n\nHealth savings accounts (HSA) and flexible spending accounts (FSA)\n\n401(k) employee and employer contributions\n\nPaid time off, including vacation, sick leave, and company holidays\n\nPaid parental leave & family support benefits\n\nShort-term and long-term disability insurance\n\nLife and accidental death & dismemberment (AD&D) insurance\n\nEmployee assistance programs & wellness resources\n\nAdditional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.\nSpecific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.\nClick the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.","description_format":"text","description_chars":7896,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity","Parental leave","Vision insurance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Urgent & Emergency Care","Healthcare Staffing"],"lifecycle":[{"event":"open","at":"2026-10-28T09:10:00Z"}],"visa":[],"liveness":{"score":77,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":0.9,"age_days":10,"expected_fill_days":21,"reasons":["conf:2","win:mid"],"computed_at":"2026-11-06T05:58:05Z"},"pay":{"stated_usd_annual":192190,"is_top_pay":true},"html_url":"https://alion.io/job/usacs-payer-strategy-analytics-senior-finance-manager","json_url":"https://alion.io/job/usacs-payer-strategy-analytics-senior-finance-manager.json","meta":{"generated_at":"2026-11-06T20:19:31Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":4463,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-07T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2921118},"rest":"https://alion.io/mcp/rest/get_company?id=2921118"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fusacs-payer-strategy-analytics-senior-finance-manager"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fusacs-payer-strategy-analytics-senior-finance-manager"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fusacs-payer-strategy-analytics-senior-finance-manager"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/usacs-payer-strategy-analytics-senior-finance-manager\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fusacs-payer-strategy-analytics-senior-finance-manager"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3388851}},{"tool":"search_jobs","arguments":{"company":"usacs.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3388851},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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