Payer Relations Analyst

About IHI

At Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

What You Will Do

The Payer Relations Analyst is responsible for independently evaluating payer performance, identifying opportunities for process improvement, and making recommendations that directly impact financial outcomes. This position exercises discretion and judgment in developing strategies to optimize reimbursement, supports decision-making for contract negotiations, and collaborates with leadership to implement payer-related initiatives.

The Opportunity

• Provide oversight of all credentialing workflows, including re-credentialing and privileging processes, to ensure efficiency, accuracy, and compliance for applicable medical staff in both primary and secondary roles.
• Contract analysis and support
• Conduct independent, detailed reviews of payer contracts and recommend changes to improve reimbursement terms.
• Monitor contract performance and identify discrepancies or underpayments.
• Support negotiation efforts by evaluating financial models and presenting findings with actionable recommendations to leadership. Partner with management to propose negotiation strategies and assess potential business risk.
• Data analysis and reporting
• Interpret complex data sets with the goal to identify trends in denials, reimbursement rates, and payer behavior.
• Develop and maintain dashboards and reports for internal stakeholders. Providing recommendations to leadership that influence operational and financial decisions.
• Provide insights to improve payer performance and revenue cycle efficiency.
• Relationship management
• Help resolve issues related to claims, payments, and contract terms.
• Track and document payer communications and outcomes
• Compliance and policy monitoring
• Stay informed on changes in payer policies, government regulations, and reimbursement guidelines.
• Ensure organizational practices align with payer requirements and industry standards.

• 5 years of credentialing experience preferred
• GED or High School diploma required. College degree preferred.
• Valid driver's license and automobile insurance is required.
• All IHI employees are expected to enable multi-factor authentication via their personal smart phone/smart device in order to access IHI systems as a requirement of the role. 

Why join our team? 

IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package. 

IHI is the only federally designated comprehensive hemophilia program in Indiana and serves the entire state through services available in Indianapolis and at outreach clinics. 

IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services. 

IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHI research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more. 

Innovative Hematology Inc. is an Equal Opportunity Employer.