Payor Relations Manager - Senior Analyst

March 7

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

💰 Account Manager

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Neolytix

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Optimizing Healthcare Organizations through Revenue & Cost TransformationNeolytix is a Management Service Organization (MSO) serving independent healthcare providers.Neolytix has been working with healthcare practices for the last 11 years and providing a helping hand for busy medical practitioners. Our services have helped increase monthly collections, create efficient processes for office administration, improved patient experience and free up physician time for providing better care.We provide shared services solutions for Medical Offices supporting Revenue Cycle Management, Credentialing, Virtual Assistants, IT Support, Practice Marketing with guaranteed impact on the overall bottom line. That means better service for a lower cost.#MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth

Management Service Organization • Revenue Cycle Management • Practice Marketing • Managed IT Services • Non Clinical Management

51 - 200 employees

📋 Description

• 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. • 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.

🎯 Requirements

• 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.