Director, Payer Strategy & Contracting
The Hospital for Special Surgery Data & Analytics team is seeking a Director with a dedicated focus on supporting the Payer Strategy & Contracting function. In this role, you will report into the Data & Analytics team while serving as the primary data partner to leaders and team members in Payer Strategy. You will be responsible for translating business priorities into data-driven solutions, serving as a subject matter expert, driving automation, and delivering reporting, analytics, and insights that enable payer strategy and contracting initiatives and negotiations.
Responsibilities:
- Work closely with the Contracting team to provide analytical support for all contracting efforts, including payer contracting, bundled payment contracting, pay-for-performance contracting, and other emerging reimbursement methodologies.
- Create and maintain models and data products to evaluate the financial success and impact of new contracts, opportunities, and policy changes, building automated processes that can be reused and scaled across multiple contracts and scenarios.
- Partner with the Payer Strategy & Contracting team to drive automation – design and manage automated reporting solutions, transitioning existing manual processes into scalable, repeatable workflows within the enterprise data lakehouse.
- Collaborate across the Data & Analytics team to align payer strategy data needs with the broader enterprise data strategy.
- Serve as a subject matter expert in payer strategy analytics, acting as the primary liaison between the Payer Strategy & Contracting team and the Data & Analytics organization.
- Mentor junior analysts, building technical and analytical capabilities while fostering knowledge of payer strategy and contracting.
Qualifications:
- Bachelors degree in Data Science, Finance, Economics, Health Administration, or related field (Masters preferred).
- 7+ years Provider/Payer contracting experience.
- Strong understanding of payer contracting concepts, reimbursement methodologies, and healthcare financial drivers.
- Advanced experience with APR-DRG, MS-DRG, Ambulatory Surgery Center groupers, APC, APG, and RBRVS reimbursement methodologies.
- Proficiency in SQL and experience working with enterprise data platforms.
- Demonstrated ability to automate reporting and analytic workflows.
- Knowledge of hospital operations, health/insurance benefit plans, revenue cycle claims systems and complex reimbursement methodologies
- Proven track record of developing models to evaluate financial impact of contracts, policy changes, or new opportunities.
- Strong communication skills with the ability to translate complex analytics into clear, actionable insights for non-technical stakeholders.
- Experience mentoring or managing analysts, with a focus on developing both technical and business acumen.
- Comfort working cross-functionally – particularly with finance, contracting, and technical data teams.
Why join us?
Hospital for Special Surgery is the world's leading academic medical center focused on musculoskeletal care. You will sit at the nexus of data science, clinical excellence, and strategic innovation—helping shape initiatives that improve patient outcomes on a global scale, all within a collaborative, flexible, and inclusive work environment.
Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.