Payor Relations Analyst

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 70 clinics across 8 states , and still growing,we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93 , the highest patient satisfaction in the industry. We are looking for a strong finance or accounting foundation paired with hands-on provider reimbursement analysis, financial modeling, and contract analysis in a managed care environment. You will turn contracts, fee schedules, and high-volume claims data into financial intelligence: modeling reimbursement, quantifying rate changes, isolating underpayments and denial patterns, and arming leadership with the numbers to negotiate from strength across 9 states. You will be an immediate contribution to a growing team. What You'll Do Financial analysis & modeling Contract financial modeling – build multi-layered models forecasting the revenue impact of proposed rate adjustments, fee schedule changes, and alternative payment models (fee-for-service, capitation, value-based care, risk-sharing). Rate proposal analysis – evaluate proposed rates from payors using historical utilization and claims data to project net revenue impact by market, service line, and payor. Reimbursement methodology analysis – analyze payor contracts, reimbursement methodologies, and financial performance across commercial, Medicare Advantage, and Managed Medicaid books of business. Financial reporting & recommendations – interpret financial and reimbursement reports, build scenario and sensitivity analyses, and deliver actionable recommendations to leadership. Contract performance & reimbursement integrity Contract yield auditing – track overall yield across commercial, Medicare Advantage, and Managed Medicaid plans to ensure payors reimburse according to executed agreements. Underpayment & variance identification – isolate underpayments, payment variances, and contract non-compliance by analyzing claim outcomes against expected contractual terms, then quantify the exposure and drive recovery. Fee schedule & system fee mapping – maintain and audit contract configuration, fee schedules, and reimbursement matrices in the EHR/practice management and RCM systems with rigorous accuracy and version control. Renewal readiness – track contract expiration and escalator timelines so negotiation strategy begins well ahead of every deadline. Negotiation modeling – partner with Payor Relations leadership to evaluate proposed reimbursement structures and build the financial case behind every ask. Financial impact assessment – quantify the impact of new contracts, amendments, renewals, and reimbursement changes before and after execution. Analytical support – support internal stakeholders throughout the contracting lifecycle, from initial modeling through post-signature validation. Executive support – synthesize high-volume claims data, denial trends, and payment metrics into dashboards, briefing packets, and scenario analyses for the Senior Manager and Director, tracking payor mix, weighted-average rate increases, and contract timelines. Present to leadership – explain complex financial findings to business leaders clearly and connect the numbers to the decision in front of them. Data accuracy & integrity – own the accuracy of every analysis, including source data validation and reconciliation to system of record. Payor relationship management & operations Day-to-day payor contact – serve as an operational point of contact for provider relations representatives across assigned health plans, resolving systemic claim issues and administrative friction. Joint Operating Committees – prepare analytical agendas and performance data packets, and track actionable follow-ups for recurring JOC meetings with health plan representatives. Denials root-cause & permanent fixes – partner with Patient Access, Billing, Coding, and Denial Management on root-cause analysis of recurring rejections, then establish process changes that prevent them from returning. Payor policy & market awareness – monitor administrative updates, medical coverage policy changes, and pre-authorization requirements; communicate operational impact to RCM, Billing, and Clinical teams as we scale into new markets. Cross-functional collaboration Collaborate with Finance, Credentialing, RCM, Billing, and Operations to translate financial data into strategic recommendations. Identify opportunities to improve financial performance, reimbursement strategy, and operational efficiency across the organization. Qualifications Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, Business Analytics, Health Information Management, or a related field, or equivalent practical experience. 3-5+ years of progressive healthcare financial analysis experience in provider reimbursement, payor relations, managed care, revenue cycle analysis, or healthcare financial/business analytics. Healthcare experience is required. Provider, MSO, or multi-state specialty group experience preferred; health plan, MCO, or payer-side reimbursement experience also considered. Strong finance or accounting foundation with demonstrated ability to interpret financial statements, reimbursement reports, and contract economics. Demonstrated experience performing financial modeling, provider reimbursement analysis, and provider contract financial analysis. Experience supporting contract negotiations through financial analysis and modeling. Strong working knowledge of reimbursement methodologies (fee-for-service, capitation, value-based care), coding standards (CPT, ICD-10, HCPCS), and revenue cycle workflows. In-depth understanding of commercial payor structures, Medicare Advantage, and Medicaid fee-for-service and managed care variations across states. Technical & analytical proficiency Advanced Excel (required) – complex data manipulation with dynamic functions, pivot tables, nested logic, financial modeling, forecasting, and scenario analysis. Business intelligence & querying (preferred) – SQL, Power BI, or Tableau used to analyze healthcare claims and financial datasets and build dashboards. SQL is strongly preferred. EHR & payor platforms – experience with major EHR/billing software and health plan portals (Availity, CAQH). Presentation skills – able to explain financial data to business leaders in clear, decision-ready terms. Preferred Experience in a rapidly growing MSO, specialty medical group, ASC, or multi-state provider environment. Contract-modeling and analytics platforms such as Rivet; familiarity with multi-state credentialing and enrollment. Knowledge of value-based care, risk arrangements, and payor quality programs. Core Competencies Analytical rigor – you reason from the data, pressure-test your own numbers, and can defend every figure you put in front of leadership. Business acumen – you connect quantitative findings to real healthcare operations, clinical workflows, and revenue cycle impact. Upward communication – you package complex datasets and contract terms into straightforward summaries for senior leadership. Proactive problem-solving – a self-starter who finds root causes and drives resolution with internal teams and external payors alike. Precision & ownership – accuracy is non-negotiable, and you juggle multiple projects and analysis at once. Benefits to Support Your Wellbeing & Lifestyle Full-time team members at Metro Vein Centers are eligible for: Medical, Dental, and Vision Insurance 401(k) Paid Time Off (PTO) + Paid Company Holidays Company-Paid Life Insurance Short-Term Disability Insurance Employee Assistance Program (EAP) The Metro Vein Centers Difference Healthy legs. Happier lives. At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust. A team united by purpose. Our values guide everything we do: Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for. Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients. A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy. Results That Make a Difference – We’re driven to improve lives through meaningful, measurable outcomes. Commitment to Growth – We invest in our people, fostering advancement and professional development at every level. Metro Vein Centers is an Equal Opportunity Employer. We’re committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination. Legal & Compliance Notice: Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request. Your privacy matters. To learn more about how we collect, use, and protect your information, please review our privacy policy here . Apply for this job * indicates a required field First Name * Last Name * Preferred First Name Email * Phone Country * Phone * Resume/CV Enter manually Accepted file types: pdf, doc, docx, txt, rtf Enter manually Accepted file types: pdf, doc, docx, txt, rtf Please select the state where you currently live. * Select... Do you hold a Bachelors degree in Finance, Accounting, Economics, Healthcare Administration, Business Analytics, Health Information Management, or a related field, or have the equivalent 5+ years practical experience? * Select... Which option best describes your experience in healthcare financial analysis, including provider reimbursement, payor relations, managed care, revenue cycle analysis, or healthcare financial/business analytics? * Select... How many years experience do you have working with provider, MSO, or multi-state specialty groups; health plans, MCOs, or payer-side reimbursement? * Select... Which option best describes your experience using Microsoft Excel for complex data analysis, financial modeling, forecasting, and scenario analysis? * Select... I acknowledge that Metro Vein Centers may contact me via text message about jobs I apply for. I understand I can opt out at any time. * Select... Target Compensation * If you were referred by a current Metro Vein Centers employee, please list their first and last name. Have you previously worked for Metro Vein Centers or any of its former or affiliated entities? * Select... Will you require sponsorship to work in the United States, either now or at any point in the future? (e.g., OPT, H-1B, TN, O-1) * Select... Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file. As set forth in Metro Vein Centers’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Select... Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 07/31/2029 Voluntary Self-Identification of Disability Form CC-305 Page 1 of 1 OMB Control Number 1250-0005 Expires 07/31/2029 Why are you being asked to complete this form? We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at . How do you know if you have a disability? A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury Disability Status Select... PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete. #J-18808-Ljbffr Trov