Payer Relations Manager/Senior Analyst Position

5 days ago


Chicago, Illinois, United States Neolytix Full time

About Neolytix

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We are a dynamic organization in the healthcare industry, dedicated to delivering innovative solutions. Our team is passionate about shaping and optimizing payer relationships.

Key Responsibilities:

  • Negotiate contracts with insurance companies to secure favorable terms, ensuring optimal agreements for all parties.
  • Analyze contract re-negotiations by building proposed rates into our Contract Management System and modeling financial impacts.
  • Develop analytics strategies to derive actionable insights from complex healthcare data.
  • Maintain relationships with key payer stakeholders and organizations.
  • Negotiate rate increases with insurance companies, leveraging relationships and negotiation skills.
  • Collect, organize, and interpret reimbursement data for CMS1500 and UB billing.
  • Research and coordinate with compliance for Revenue Cycle requirements.
  • 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 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.

Compensation Package:

We offer a competitive salary of approximately $95,000 - $125,000 per year, depending on experience, plus benefits and opportunities for professional growth.



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