Payor Contract Analyst

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

As our Payor Contract Analyst, you will help ­­create opportunities for improved revenue generation for our clients by modeling their payor contracts in R1’s proprietary contract modeling tool, Pricing Service. Every day you will develop expertise in hospital reimbursement structures and analyze the results of your models to ensure accuracy. To thrive in this role, you must have experience with quantitative or analytical work. Data analytics and prior SQL query writing experience is preferred. Prior experience in hospital billing or revenue cycle is a plus but not required. 

Here’s what you will experience working as a Payor Contract Analyst:

• Review and interpret payor contracts to identify all relevant information influencing reimbursement rates and terms 

• Model contracts and execute pricing in R1's proprietary software 

• Trend and analyze model results to validate and verify reimbursement terms have been configured correctly using SQL queries  

• Maintain strong lines of communication with pricing consumer teams, responding to feedback and requests for system maintenance 

• Partner with our Product team to improve the contract modeling tool through your feedback 

Required Skills:

• High school diploma, GED, or equivalent; post-secondary education in STEM preferred 

• Exceptional analytical skills as developed and demonstrated in academic or professional setting 

• Ability to use Excel and Power BI to analyze large data sets; SQL query writing experience preferred but not required 

• Detail-oriented, with demonstrated organizational skills and the ability to manage time effectively, prioritize tasks 

• Demonstrated interpersonal skills to work effectively in a team environment with internal stakeholders 

For this US-based position, the base pay range is $46,260.02 - $65,797.38 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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