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What is the difference between Home Based Fractional Consulting vs Bookkeeper?

AspectHome Based Fractional ConsultingBookkeeper
CredentialsVaries; often requires industry-specific experience, certifications like CPA or CMATypically requires bookkeeping certifications or experience, such as QuickBooks certification
Work EnvironmentRemote, flexible, project-basedRemote or on-site, regular hours, ongoing tasks
Employer & Industry UsageConsulting firms, small to mid-sized businesses, startupsSmall businesses, accounting firms, small enterprises

Home Based Fractional Consulting involves providing specialized, project-based advice to clients remotely, often requiring industry-specific credentials. Bookkeepers focus on maintaining financial records, usually with bookkeeping certifications, and perform ongoing, routine tasks. While both roles can be remote, fractional consultants typically work on a flexible, project basis, whereas bookkeepers often have regular hours for ongoing record-keeping.

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Infographic showing various Home Based Fractional Consulting job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution.

Fractional VP, Payer Contract Analytics - Remote

Neolytix LLC

Chicago, IL • On-site, Remote

$185K - $239K/yr

Part-time

Re-posted 12 days ago


Job description

Fractional VP, Payer Contract Analytics
Neolytix | Remote (US) | Part-Time / Retainer
About the Role
Neolytix is seeking a senior healthcare professional to lead our Payer Contract Analytics practice on a fractional basis. This role combines business development, client leadership, and oversight of an offshore analytics team.
The right candidate has deep experience in payer contracting and provider reimbursement, an existing network in the provider space, and wants a flexible engagement with meaningful upside tied to results.
About Neolytix
Neolytix is a healthcare services company based in Chicago, serving 270+ provider organizations with revenue cycle management, credentialing, and analytics services. We have 220+ employees across the US, India, and the Philippines.
We are building a dedicated practice focused on payer contract intelligence - helping providers use price transparency data to benchmark rates, identify opportunities, and negotiate better contracts.
What You'd Do
Business Development
  • Develop pipeline through your network and targeted outreach
  • Lead discovery conversations and scope engagements
  • Develop proposals and close deals

Client Leadership
  • Serve as the senior relationship owner on engagements
  • Present findings and guide negotiation strategy
  • Identify expansion opportunities

Delivery Oversight
  • Direct methodology and quality standards for an offshore analytics team
  • Review deliverables before client presentation
  • Partner with our India-based Technical Lead on execution

Practice Development
  • Shape offerings and positioning based on market feedback
  • Develop referral partnerships
  • Contribute to go-to-market strategy

What's Already in Place
  • Analytics methodology and playbooks
  • Data partnership (Payerset) for Transparency in Coverage data
  • Technical Lead and analysts ready to execute
  • Existing client base for cross-sell
  • Back-office infrastructure (finance, legal, HR)

Who We're Looking For
Experience
  • 15+ years in US healthcare
  • Substantial experience with payer contracting, managed care, or provider reimbursement
  • Track record in consulting, advisory, or analytics-driven roles
  • Experience selling or delivering engagements in the $100K-$500K range

Capabilities
  • Existing relationships with health system executives, practice leaders, or PE operating partners
  • Ability to translate complex analytics into actionable recommendations
  • Comfort overseeing offshore teams and reviewing analytical work
  • Strong executive presence

Mindset
  • Entrepreneurial - energized by building, not just executing
  • Self-directed - can manage your own pipeline and priorities
  • Collaborative - works well with a small, distributed team

Background might include:
  • VP Managed Care or Provider Contracting at a health system
  • Partner or Director at a healthcare consulting firm
  • Operating role at a PE-backed healthcare platform
  • Senior payer executive with provider-side experience

Compensation Overview
Base Retainer You will receive a fixed monthly payment that reflects your part-time commitment to the role. This ensures a steady, predictable income.
Performance Incentive On top of your base pay, you will earn a commission on all revenue generated. Additionally, you will be eligible for bonuses when specific deals are closed.
Target Total Compensation The total package is designed to be highly competitive with current market rates for fractional executive roles, balancing both stability and high-earning potential.
Logistics
  • Commitment: Fractional/ Part time
  • Location: Remote within the US; hybrid if in Chicagoland
  • Travel: Occasional, for client meetings or conferences
  • Structure: W-2 or 1099, based on preference
  • Start: Q2 2026

Must be authorized to work in the US. Neolytix is unable to sponsor visas.
To Apply
Please submit your resume and a brief note covering:
  • Your experience with payer contracting or provider reimbursement
  • An example of consulting or advisory work you've led or contributed to
  • Your current availability and interest in fractional work

We'll follow up with qualified candidates to discuss the opportunity in more detail.
Neolytix is an equal opportunity employer.