Neolytix · 5 hours ago

Payor Relations Manager/Senior Analyst (Healthcare) - Remote

Chicago, IL

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

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.

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

Utilize your experience in building robust business cases to support and guide key organizational decisions.

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

Build and maintain relationships with key payer stakeholders and organizations

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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Payer Contracting NegotiationHealthcare AnalyticsAnalytical PlatformsBusiness Case DevelopmentReimbursement ResearchNegotiation with Insurance CompaniesData AnalysisHealthcare AdministrationRelationship ManagementFinancial Improvement