Payor Analytics Manager: Negotiations & Growth Insights

Fresenius Medical Care; Kennesaw (GA); On-site; USD 85,000 - 125,000; Full time

Job summary

Fresenius Medical Care is seeking an experienced Payor Negotiation Analytics professional to manage all aspects of payer contract analyses in assigned groups. You will monitor, analyze and evaluate financial and competitive data, and oversee follow-up of negotiated payor agreements.

The role emphasizes communicating executed contracts to Operations and Revenue Centers, ensuring data accuracy and compliance, and supporting budget reviews and profitability analyses across current and future

Qualifications

• Bachelor's Degree required; Advanced Degree desirable.
• 5-8 years' related experience; or a Master's degree with 3 years' experience.
• 3+ years' supervisory or project/program management experience preferred.
• Knowledge of GAAP highly preferred.
• Strong computer skills with proficiency in word processing, spreadsheet, database and email applications.
• Detail oriented with strong analytical and organizational skills.
• Strong oral and written communication skills to effectively communicate with all levels of management.

Responsibilities

• Communicate executed payer contracts to Operations management and Revenue Centers in a timely, accurate manner.
• Ensure compliance with data collection, auditing activities, contract implementation analysis and new contact performance monitoring.
• Monitor profitability of current payor contracts and identify negotiation opportunities.
• Evaluate non-contracted positions to identify growth opportunities.
• Track contract escalators and assist with budgetary reviews of financial changes to existing/future agreements.
• Perform financial analyses to support contract proposals, terminations, payor consolidation and rate structure conversions.
• Produce analytic reports to support managed care efforts on a monthly or as-needed basis.
• Analyze network data for growth and perform competitive analyses of markets and provider activity.
• Collaborate with peers to develop best practices and follow established processes and policies.
• Respond to internal/external meetings and provide technical guidance; assist with projects as assigned.
• Review and comply with Code of Business Conduct and applicable policies and regulations.

Skills

GAAP knowledge

Analytical skills

Communication skills

Supervisory experience

Project management

Detail orientation

MS Office proficiency

Education

Bachelor's Degree

Advanced Degree

Job description

Fresenius Medical Care is seeking an experienced Payor Negotiation Analytics professional to manage all aspects of payer contract analyses in assigned groups. You will monitor, analyze and evaluate financial and competitive data, and oversee follow-up of negotiated payor agreements.

The role emphasizes communicating executed contracts to Operations and Revenue Centers, ensuring data accuracy and compliance, and supporting budget reviews and profitability analyses across current and future