Payor Relations Manager/Senior Analyst (Healthcare) - Remote

Remote

Full Time

Mid Level

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"

Apply for this position

Required*

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

We've received your resume. Click here to update it.

Attach resume or Paste resume

Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

Do you have experience with Payer Contracting Negotiation?*

How many years is your total Payer Contracting Negotiation experience?*

Do you have experience building business cases?*

How much is your expected salary?*

Do you have experience with Non facility setting to do the contract negotiations?*

Are you amenable to work for Part Time 1099?*

Human Check*

Submit Application

Thanks for visiting our Career Page. Please review our open positions and apply to the positions that match your qualifications.

Payor Relations Manager/Senior Analyst (Healthcare) - Remote

Apply for this position