Senior Payor Contracting Analyst
Welcome to Legacy Health, where we are committed to providing exceptional healthcare to our community. We are currently seeking a highly skilled Senior Payor Contracting Analyst to join our team and help us fulfill our mission. As a Senior Payor Contracting Analyst, you will play a crucial role in negotiating and managing contracts with our payor partners to ensure optimal reimbursement for our services. We are looking for an experienced and detail-oriented individual who is passionate about healthcare and has a strong understanding of payor contracting. If you are ready to make a positive impact in the healthcare industry, we encourage you to apply for this exciting opportunity.
- Negotiate and manage contracts with payor partners to ensure optimal reimbursement for services provided by Legacy Health.
- Develop and maintain strong relationships with payor partners to facilitate successful contract negotiations.
- Conduct thorough analysis of payor contracts to identify areas for improvement and negotiate favorable terms.
- Collaborate with internal departments such as finance, legal, and operations to ensure alignment with payor contracts.
- Monitor and track contract performance, identifying any issues and working to resolve them in a timely manner.
- Stay up-to-date with industry trends and changes in payor policies to inform contract negotiations.
- Analyze and interpret complex payor contracts and effectively communicate key information to relevant stakeholders.
- Develop and maintain a strong understanding of payor reimbursement methodologies and regulations.
- Provide guidance and support to junior payor contracting analysts to ensure consistency and accuracy in contract management.
- Participate in strategic planning and decision-making processes related to payor contracting.
- Collaborate with revenue cycle management teams to ensure accurate and timely reimbursement.
- Maintain compliance with all relevant laws, regulations, and policies related to payor contracting.
- Represent Legacy Health in meetings and negotiations with payor partners.
- Identify and implement process improvements to streamline payor contracting operations.
- Adhere to Legacy Health's mission, values, and code of conduct in all aspects of the job.
Extensive Experience In Contract Negotiation: A Senior Payor Contracting Analyst Should Have A Proven Track Record Of Successfully Negotiating Contracts With Various Payors, Including Commercial Insurance Companies, Medicare, And Medicaid.
In-Depth Knowledge Of Healthcare Reimbursement Methodologies: This Role Requires A Thorough Understanding Of Healthcare Reimbursement Methodologies, Such As Fee-For-Service, Value-Based Payments, And Bundled Payments. The Candidate Should Also Be Familiar With Industry Trends And Changes In Reimbursement Policies.
Strong Analytical Skills: As A Senior Payor Contracting Analyst, The Candidate Should Possess Strong Analytical Skills To Evaluate Contract Performance, Identify Trends, And Make Data-Driven Recommendations For Contract Negotiations.
Excellent Communication And Interpersonal Skills: This Role Involves Collaborating With Various Internal And External Stakeholders, Including Payors, Providers, And Senior Leadership. The Candidate Should Have Excellent Communication And Interpersonal Skills To Effectively Convey Complex Information And Build Relationships.
Knowledge Of Healthcare Laws And Regulations: A Senior Payor Contracting Analyst Should Have A Deep Understanding Of Healthcare Laws And Regulations, Including Hipaa, Stark Law, And Anti-Kickback Statute. They Should Ensure That All Contracts Comply With These Laws And Regulations.
Strategic Planning
Data Analysis
Market Research
Negotiation
Financial Modeling
Relationship Management
Analytics
Contracting
Risk assessment
Contract analysis
Healthcare Regulations
Contract Optimization
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Active Listening
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Senior Payor Contracting Analyst in Portland, OR, USA is $80,000 - $120,000 per year. This can vary depending on factors such as the specific company, the candidate's experience and education level, and the current job market.
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Legacy Health is a non-profit hospital system located in Portland, Oregon, United States. It consists of six primary-care hospitals, a children's hospital, and allied clinics and outpatient facilities. The system employs about 14,000 staff members, and is the second-largest system in the Portland metro area, after the Providence Health System.
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