Payor Relations Manager/Senior Analyst (Healthcare) - Remote - Neolytix

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 ronel@neolytix.com with the subject line "Payor Relations Manager/Senior Analyst" 

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