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Payor Analyst Jobs in Nevada (NOW HIRING)

Works closely with finance and data analytics teams to provide support for negotiations and to ... Prepares Payor Scorecards for Revenue Cycle for use during contract negotiations. Develops tools ...

Insurance and Claims Specialist

Reno, NV · On-site

$19.16 - $26.82/hr

The Specialist will conduct analysis and resolve incorrect reimbursement issues and credit balance ... and/or government payor billing and follow-up regulations to include CCI, LCD/NCD and medical ...

The Specialist will conduct analysis and resolve incorrect reimbursement issues and credit balance ... and/or government payor billing and follow-up regulations to include CCI, LCD/NCD and medical ...

Manager - Payer Strategies - Acute

Las Vegas, NV · Remote

$85K - $114K/yr

Works closely with finance and data analytics teams to provide support for negotiations and to ... Prepares Payor Scorecards for Revenue Cycle for use during contract negotiations. Develops tools ...

The Specialist will conduct analysis and resolve incorrect reimbursement issues and credit balance ... and/or government payor billing and follow-up regulations to include CCI, LCD/NCD and medical ...

Manager - Payer Strategies - Acute

Las Vegas, NV · Remote

$85K - $114K/yr

Works closely with finance and data analytics teams to provide support for negotiations and to ... Prepares Payor Scorecards for Revenue Cycle for use during contract negotiations. Develops tools ...

Controller (2532)

Las Vegas, NV · On-site

$115K - $130K/yr

... payor and broker remittance reconciliations, denials, write-offs and rate adjustments, collections escalation, and accounts receivable aging and reserve analysis. • Establish, maintain, and ...

... payor and broker remittance reconciliations, denials, write-offs and rate adjustments, collections escalation, and accounts receivable aging and reserve analysis. • Establish, maintain, and ...

Case Manager

Las Vegas, NV · On-site

$19.25 - $24.75/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Henderson, NV

$18.75 - $24/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Las Vegas, NV

$19 - $24.50/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

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Showing results 1-20

Payor Analyst information

What does a payor analyst do?

A Payor Analyst is responsible for analyzing and managing relationships between healthcare providers and insurance companies (payors). They review contracts, track payment trends, identify discrepancies in claims, and ensure that reimbursements are accurate and timely. Payor Analysts also provide data-driven insights to help healthcare organizations optimize revenue cycles and negotiate better terms with insurers. Their work supports financial stability and helps resolve issues related to denied or underpaid claims.

What are the key skills and qualifications needed to thrive as a payor analyst?

To thrive as a Payor Analyst, you need a solid understanding of healthcare reimbursement, contract analysis, and data analytics, typically supported by a degree in finance, healthcare administration, or a related field. Familiarity with claims processing systems, payer portals, and advanced Excel or data management tools is commonly required. Strong attention to detail, analytical thinking, and effective communication are vital soft skills for interpreting complex data and collaborating with stakeholders. These skills are crucial for maximizing revenue, ensuring compliance, and optimizing payor relationships in a healthcare setting.

How does a payor analyst typically collaborate with other departments to resolve reimbursement issues?

Payor Analysts often work closely with billing, coding, and revenue cycle teams to address reimbursement discrepancies and ensure timely payments from insurance companies. They analyze payment data, investigate denials or underpayments, and coordinate with clinical staff or management to gather necessary documentation. Effective communication and cross-functional teamwork are essential, as Payor Analysts frequently participate in meetings to discuss trends, escalate complex cases, and implement process improvements that benefit the entire organization.

What job categories do people searching Payor Analyst jobs in Nevada look for?

The top searched job categories for Payor Analyst jobs in Nevada are:

What cities in Nevada are hiring for Payor Analyst jobs?

Cities in Nevada with the most Payor Analyst job openings:

RVP, Business Development

Aveanna Healthcare

Las Vegas, NV • On-site

Other

Re-posted 21 days ago


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

64th of 245 rated social care providers


Job description

Overview
Location Requirement: Must reside in California, Arizona, New Mexico, Washington, Colorado or Nevada (supporting a multi-state territory).
Competitive executive compensation package including base salary, incentive opportunities, and comprehensive benefits.
Position Overview The Regional Vice President, Business Development is instrumental in driving revenue growth and admissions while expanding Aveanna's presence across multiple locations within their respective region. This role is responsible for overseeing and supervising regional and area business development leaders. The Regional Vice President of Business Development will work closely with operational partners to drive strategic plans with external referral sources and payors.
Essential Job Functions
Strategic Referral Source Engagement
Lead the development, nurturing, and maintenance of relationships with physicians, hospitals, and other healthcare professionals to generate referrals.
Collaborates and develops and implements segment strategies and plans aligned with regional and company goals.
Participates in leadership meetings, delivering strategic, growth-oriented regional plans.
Collaborates with operations and regional leadership ensuring growth strategies, contribution and business commitments are achieved.
Supports and guides area leadership ensuring effective engagement with hospital C-Suite, case managers and discharge planners.
Preferred Payor Strategy
Collaborates with internal stakeholders to develop and implement initiatives aimed at securing preferred payor contracts.
Analyzes market trends and payor landscapes to identify opportunities for negotiating mutually beneficial terms and outcomes.
Develop strategy to increase referral pipeline of preferred payors.
Community Outreach Leadership
Identify community events, health fairs, and conferences to promote Aveanna's services and establishing a strong presence in the community.
Establish partnerships with local organizations and community leaders to enhance and diversify referral networks.
Educational Presentations Oversight
Provide strategic guidance and support to business development team in conducting informative presentations to healthcare providers, community groups, and potential patients/families.
Ensure consistency and effectiveness in conveying Aveanna's scope of services.
Market Analysis and Strategy Development
Monitor and share industry trends, competitor activities, and changes in healthcare regulations affecting private duty nursing.
Conduct market research identifying opportunities for service expansion and differentiation, guiding strategic decision-making processes.
Ensure appropriate allocation of resources to drive volume growth.
Referral Tracking, Reporting and Performance Management
Oversee tracking and analysis of referral sources, ensuring comprehensive reporting of marketing efforts and results.
Provide reports to executive management on referral growth, marketing activities, and achievement of referral, admission, and volume targets.
Team Management
Develop and mentor the regional business development team.
Monitor employee selection, onboarding, training, and performance management.
Analyze and manage business development team expenses ensuring to alignment with budget requirements.
Requirements
Bachelor's degree in business, healthcare, or related field; equivalent work experience may be considered in lieu of a degree.
Proficiency in Microsoft suite of products including Outlook, Word, and Excel.
Possession of a valid driver's license and an acceptable Motor Vehicle Report.
Proven track record of success in healthcare marketing, with a focus on generating referrals for private duty nursing or home healthcare services.
Key Attributes
Exceptional leadership skills with the ability to inspire and motivate a team.
Strong strategic thinking and analytical abilities.
Excellent communication and interpersonal skills.
Results-oriented mindset with a focus on driving business growth and achieving targets.
Adaptability to a dynamic, fast-paced environment.
Physical Requirements
Must be able to speak, write, read and understand English.
Occasional lifting, carrying, pushing and pulling of 25 pounds.
Prolonged sitting, walking, standing, bending, kneeling, reaching, twisting.
Ability to climb stairs.
Must have visual and hearing acuity.
Environment
Performs duties in a mobile, field-based environment with frequent location and facility visits.
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Vaccine Requirement
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

What Aveanna Healthcare employees say

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About Aveanna

Sourced by ZipRecruiter

Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US