Payor Stratergy Analyst

Company: Wellnow
Location: Chicago
Posted on: April 1, 2025

Job Description:

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. ADMI provides a comprehensive suite of centralized business support services that power the impact of four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care and Chapter Aesthetic Studio.Job SummaryThis position plays a vital role for WellNow Urgent Care, supporting the Payer Strategy team through data analysis, performance reporting, contract modeling and ownership of fee schedule maintenance and system loads. The successful candidate will report to the Sr. Director of Plan Management & Metrics on the Payer Strategy Team.Responsibilities

• Analyzes rate fee schedules and claims data to make recommendations for contract negotiations and pricing strategies.
• Creates financial models to assess different contract scenarios and pricing strategies that impact patient revenue and utilization.
• Creates the needed reporting to track key performance indicators related to payer contracting, such as patient volume, reimbursement rates and payer denials.
• Organizes and maintains database of all contracted rates for WellNow Urgent Care.
• Oversees that contracted rates are loaded into internal systems and audited to ensure its success.
• Responsible for fee schedule compliance and maintenance to ensure that accurate rates are used in expected payment calculations.
• Work cross departmentally to address any payer or claims related issues.
• Creates ad hoc reports and analysis as required.Minimum Education and Experience
• BA/BS in Business, Finance, Accounting or other related fields preferred.
• 2-3 years of data analysis experience in healthcare or related fields.
• Advanced skills with Microsoft Excel required.
• SQL, SAS, or other data querying software experience preferred.
• Broad knowledge of healthcare insurance, physician billing and reimbursement, administration, systems, practices, and principles (i.e. Medicaid, Medicare, Medicare Advantage, and Commercial).
• Has demonstrated ability to review large data files for accuracy and completion.
• Has ability to excel in fast paced environment, take direction and handle multiple priorities.
• Strong written and verbal communication skills including the ability to communicate results of data analysis to a variety of stakeholders.Annual pay range: $72-85kA generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.WellNow Urgent Care strives to be a leader in urgent medical care, telehealth, and occupational medicine services in the United States, offering our patients quick, convenient, and quality care for non-life-threatening injuries and illnesses.WellNow has over 190 locations conveniently located across Illinois, Indiana, Michigan, New York, Ohio, Pennsylvania.If you're looking to make your next career move to an organization that offers multiple career paths and is supportive of its colleagues' personal and professional goals, then apply to one of our available opportunities today.WellNow is part of TAG-The Aspen Group's family of healthcare brands.
  #J-18808-Ljbffr

Keywords: Wellnow, Chicago , Payor Stratergy Analyst, Professions , Chicago, Illinois