Revenue Support Manager

CH01 CHE Fresenius Medical Care (Schweiz) AG; Kennesaw (GA); On-site; USD 85,000 - 125,000; Full time

Job summary

Fresenius Medical Care is seeking an experienced Payor Analytics professional to manage all aspects of negotiat ion analytics for assigned groups. The role focuses on monitoring financial data, contract performance, and growth opportunities within managed care networks.

The ideal candidate has 5-8 years of related experience, a Bachelor's degree, and strong GAAP knowledge, with advanced degree desirable. The position emphasizes accuracy, collaboration, and strategic financial analysis.

Qualifications

• Knowledge of Generally Accepted Accounting Principles (GAAP) highly preferred.
• Detail oriented with strong analytical and organizational skills.
• Strong oral and written communication skills to effectively communicate with all levels of management.

Responsibilities

• Manage payor negotiation analytics across assigned groups; monitor and evaluate financial and competitive data.
• Communicate executed payer agreements to Operations management and Revenue Centers in a timely, accurate manner.
• Ensure data collection, auditing activities, and contract implementation analysis comply with requirements.
• Monitor profitability of current payor contracts and identify potential negotiation targets.
• Evaluate non-contracted positions to identify growth opportunities and track contract escalators.
• Assist with budget reviews of financial changes to existing and future agreements.
• Perform financial analyses for contract proposals, terminations, payor and network data analyses.
• Produce analytical reports to support managed care efforts on a monthly or as-needed basis.
• Collaborate with peers to develop best practices for daily activities and stay current with industry practices.

Skills

GAAP knowledge

Analytical skills

Organizational skills

Strong communication

Computer proficiency

Education

Bachelor's Degree

Advanced Degree desirable

Job description

PURPOSE AND SCOPE:

Responsible for managing all aspects of payor negotiation analytics in the assigned Group(s). This involves the monitoring, analysis and evaluation of pertinent financial and competitive data; detailed tracking and follow-up of all assigned payor negotiations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Responsible for timely and accurate communication of executed payer agreements to Operations management and Revenue Centers.
• Responsible for compliance with all related data collection and auditing activities as well as contract implementation analysis and new contact performance monitoring.
• Responsible for monitoring profitability of current payor contracts and identifying potential negotiation targets.
• Responsible for evaluating non-contracted positions to identify potential growth opportunities.
• Responsible for tracking contract escalators.
• Responsible for assisting with all budgetary reviews of all financial changes to existing and future agreements.
• Perform various financial analyses to assist with contract proposals, contract terminations, payor, consolidation including analysis of Standard Carrier claims data obtained using current financial data systems, analysis of medication utilization for global contracts and analysis of rate structure conversion.
• Produces analytical reports to support managed care efforts on a monthly or as needed basis Performs analysis of network data for growth as required.
• Performs and maintains competitive analysis of individual markets and competitive provider activity.
• Collaborate with departmental peers to develop best practices for daily activities.
• Technically proficient in the specific department and knowledge of industry practice and business principles.
• Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.
• Experience required for a multi-faceted environment; role primarily focuses on tactical execution.
• Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals.
• Program or project responsibility generally within the function.
• An individual contributor will have significant project/process responsibilities.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISION:

May be responsible for the direct supervision of various levels of department staff.

EDUCATION:

Bachelor’s Degree required; Advanced Degree desirable

EXPERIENCE AND REQUIRED SKILLS:

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 Generally Accepted Accounting Principles (GAAP) highly preferred Strong computer skills with demonstrated proficiency in word processing, spreadsheet, database and email applications. Detail oriented with strong analytical and organizational skills. Strong oral and written communication skill to effectively communicate with all levels of management.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors Creating a future worth living. For patients. Worldwide. Every day. Fresenius Medical Care is the world's leading provider of products and services for individuals with kidney disease of which approximately 4.5 million patients worldwide regularly undergo dialysis treatment. United by a shared purpose of creating a future worth living for chronically and critically ill people, we care for around 292,000 dialysis patients around the globe. In addition, we operate around 35 global production sites to provide products such as dialysis machines, dialyzers, and related disposables. We aim to continuously improve our patients’ quality of life by offering them high-quality products as well as innovative technologies and treatment concepts.