Revenue Cycle & Payor Strategies Manager

Growing Private Equity firm focused on healthcare that has a great benefits package, bonus, and compensation!!

This Jobot Job is hosted by: Lauren Lehman
Are you a fit? Easy Apply now by clicking the "Apply" buttonand sending us your resume.
Salary: $100,000 - $150,000 per year

A bit about us:

We are representing a client that works within the private equity sector that is seeking a Revenue Cycle & Payor Strategies Specialist who will be handling RCM processes and optimizing payor contract strategies across the portfolio companies.

They are offering a great work environment and growth within the organization!

Apply today to learn more!

Why join us?

• Competitive Base Salary!
• Competitive Bonus!
• Complete Benefits Package!
• Accelerated Career Growth!
• 401k match!

Job Details

Job Description:

• Collaborate with the Chief Revenue Officer (CRO) to drive key RCM initiatives, including process enhancements, data analysis, and growth infrastructure improvements.
• Identify and implement RCM process improvements by analyzing large data sets to pinpoint performance issues, establishing standard operating procedures, and developing scalable Power BI dashboards for key performance indicators.
• Support portfolio companies with RCM engagements focused on organizational restructuring, labor management, cost analysis, and the selection of electronic medical record (EMR) systems.
• Prepare portfolio companies for exit by streamlining revenue cycle processes and establishing effective, scalable RCM infrastructures.
• Payor Strategies Center of Excellence (COE):
• Assist the Head of Payor Strategies in conducting strategic reviews of payor contracts and reimbursement strategies.
• Support contract review and negotiation strategies by utilizing SCP data assets to analyze rate structures, competitive rates, quantify rate lift opportunities, and identify referral patterns and growth opportunities.
• Leverage AI tools and technologies to research CMS, state, and payor trends affecting SCP companies. Use these insights to proactively inform companies of billing/reimbursement trends, identify new opportunities, and refine negotiation strategies for optimal rate positioning.
• Contribute to the due diligence process for acquisitions by evaluating payor contract language and reimbursement data, identifying opportunities for synergies and improvements.
• Implement systems and processes to help portfolio companies manage payor contracting targets, renewal pipelines, and contract integration during acquisitions.

Professional Qualifications:

• Bachelor’s degree required.
• 5-8 years of relevant experience in revenue cycle management, managed care contracting, or healthcare consulting, preferably in a private equity, multi-site healthcare, or consulting environment. Familiarity with managed care rates and language is essential.
• Advanced proficiency in Excel, Power BI, and PowerPoint, with strong capability in handling large data sets and creating insightful models.
• Strong analytical skills for data modeling, financial analysis, and rate comparisons for managed care contracts.
• Exceptional communication and presentation skills, capable of conveying complex data and strategic insights to board members and external stakeholders.
• Proven ability to manage multiple projects in a fast-paced environment and influence outcomes across the organization.
• Experience in healthcare consulting or private equity is preferred.

Interested in hearing more? Easy Apply now by clicking the "Apply" button.