Neolytix

Lead payer contract negotiations, develop analytical platforms and business cases, manage payer relationships, and analyze reimbursement and payor behavior data. | Bachelor's degree in healthcare administration or related field, 3-5 years of payer contracting and negotiation experience, strong analytics and business case skills. | 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/Onsite 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 ronel@neolytix.com with the subject line "Payor Relations Manager/Senior Analyst" Powered by JazzHR aOV7scBJQD