Senior Analyst Payor Relations jobs in United States
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Athletico · 8 hours ago

Senior Analyst Payor Relations

Athletico is dedicated to empowering people through exceptional fitness and rehabilitative services. The Senior Analyst, Payor Relations will analyze healthcare claims data to provide insights on payor contracts and financial performance, supporting strategic decision-making within the organization.

Health Care

Responsibilities

Analyze payor mix, reimbursement trends, and operational performance across payor contracts and geographies and recommend potential actions to Payor Relations leaders and other stakeholders
Prepare complex financial models on payor contracts and reimbursement changes to inform strategy and decision making
Translate complex analytics into clear, actionable strategies and effectively communicate to business stakeholders in Payor Relations, Finance, Accounting, Revenue Cycle Management, and Field Operations
Develop and lead execution of methodology to validate reimbursement received against contractual terms with third party payors
Conduct strategic and quantitative analyses to identify key insights and support the implementation of growth initiatives
Design and maintain Power BI dashboards that track and trend key performance metrics for Payor Relations leadership team and other teams, as needed
Maintain rigorous standards for data accuracy, standardization, and clarity in all analytical assignments
Research and analyze competitive dynamics and industry segments and trends
Provides support in managing projects to advance company and divisional objectives
Partner with business stakeholders on ad-hoc analysis needed to support business objectives and decision-making

Qualification

Data analyticsFinancial modelingPower BIHealthcare operationsMicrosoft ExcelCritical thinkingProblem-solvingAttention to detailCommunication skillsOrganizational skills

Required

Bachelor's degree (B.A. or B.S.) from a four-year college or university or equivalent work experience
4+ years of analytics, FP&A, healthcare operations, or similar experience; experience in Physical Therapy, rehab, or outpatient settings preferred
Experience working with contracts or data related to managed care payors, government programs, workers' compensation, and third-party payors
Proven track record of using data analytics to identify issues, trends, or exceptions that improve business decision-making and outcomes
Strong critical thinking and problem-solving ability
Strong attention to detail and drive for accuracy
Excellent written and verbal communication skills
Excellent organizational, time management, and planning skills
Ability to analyze financial data, identify trends, and interpret results
Advanced proficiency with Microsoft Office applications (Word, Excel, Outlook, PowerPoint)
Advanced proficiency with Microsoft Excel, including but not limited to use of VLOOKUP, Pivot Tables, conditional formulas and formatting to solve analytical problems
Proficient with Microsoft Power BI or other data visualization tools
Ability to read, write and speak English proficiently
Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e., while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding
Ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus

Preferred

Experience in Physical Therapy, rehab, or outpatient settings

Company

Athletico

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An Oak Brook, Ill.-based portfolio company of Harvest Partners

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Harvest Partners
2014-05-20Private Equity
2011-07-25Acquired

Leadership Team

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Daniel Guill
Chief Executive Officer
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Mark Kaufman
President
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Company data provided by crunchbase