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Payor Relations Manager/Senior Analyst (Healthcare) - Remote

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree in healthcare administration or related field, Master's degree preferred, 3-5 years of payer contracting experience, Proven track record in analytics, In-depth knowledge of healthcare analytics.

Key responsabilities:

  • Lead negotiations with insurance companies
  • Analyze contract impacts and financial models
  • Develop business cases for rate increases
  • Implement analytics strategies for insights
  • Manage relationships with payer stakeholders
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Practice Tech Solutions Marketing & Advertising TPE https://practicetechsolutions.com/
11 - 50 Employees
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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" 

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Marketing & Advertising
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Relationship Management
  • Analytical Skills

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