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Payor Relations Manager/Senior Analyst (Healthcare) - Remote

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Location
United States
Neolytix

Job Description

Payor Relations Manager/Senior Analyst (Healthcare)

Are you a seasoned professional in the healthcare industry with a passion for strategic negotiation and analytics? Join our dynamic team as a Payor Relations Manager/Senior Analyst, where you will play a crucial role in shaping and optimizing our payer relationships.

Key Responsibilities:

  • Payer Contracting Negotiation: Lead negotiations with insurance companies to secure favorable payer contracts, ensuring optimal terms for both parties.

  • Analyzes the potential impact of contract re‐negotiations by building proposed rates into the Contract Management System and modeling the financial impact.

  • Analytical Platforms: Spearhead the development of analysis to build a compelling business case to justify rate increases with Payers.

  • Business Case Development: Utilize your experience in building robust business cases to support and guide key organizational decisions.

  • Analytics: Oversee the development and implementation of analytics strategies to derive actionable insights from complex healthcare data.

  • Relationship Management: Build and maintain relationships with key payer stakeholders and organizations

  • Negotiation with Insurance Companies: Leverage your relationships and negotiation skills to negotiate rate increases with insurance companies, ensuring mutually beneficial agreements for all stakeholders.

  • Reimbursement research

  • Collect, organize and interpret reimbursement data for CMS1500 and UB for billing.

  • Research and coordinates with compliance for Revenue Cycle requirements for facility and non-facility operations.

  • Provide feedback to Revenue Cycle for opportunities at financial improvement.

  • Analyze payor behavior trends across the nation on a facility/non facility and state‐wide scale.

  • Examine outside data from prospective clients and provide analysis to the Business Development/ Sales Team.

Qualifications:

  • Bachelor's degree in healthcare administration, Business, or a related field; master's degree preferred.

  • Minimum of 3-5 years of experience in payer contracting, with a focus on negotiation and analytics.

  • Proven track record in building and implementing analytical platforms.

  • Strong experience in crafting persuasive business cases.

  • In-depth knowledge of healthcare analytics and negotiating with insurance companies.

Location: Chicago, IL

Full Time/Part Time

Work Set up - Remote

If you are a strategic thinker with a passion for negotiating and a strong background in analytics, we invite you to bring your expertise to our team. Apply now by submitting your resume to [email protected] with the subject line "Payor Relations Manager/Senior Analyst"

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About the job

Oct 31, 2024

Full-time

  1. US United States
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