Payer Contracting Specialist

Job Title: 

Payer Contracting Specialist 

Location: 

Loop Chicago, IL 

Job Type: 

Full-time | Direct Hire 

About Neolytix 

Neolytix is a healthcare management services organization (MSO) that helps healthcare providers optimize operations, increase revenue, and improve patient care. We support practices nationwide through technology-enabled services including credentialing, revenue cycle management, analytics, and digital enablement. 

Position Overview 

We are seeking a Payer Contracting Specialist to join our team in Chicago. This role is critical in supporting our offshore credentialing teams while taking the lead in negotiating payer contracts for mid-sized physician practices and group practices across the U.S. 

You will combine hands-on execution with data-driven strategy to help our clients secure better reimbursement rates and reduce credentialing turnaround times. 

Key Responsibilities 

🔹 Credentialing Operations Support 

• Act as the U.S. liaison for offshore credentialing teams handling provider enrollments, revalidations, and payer portal submissions. 

• Resolve escalated credentialing issues with U.S. payers and health plans (commercial, Medicare, Medicaid). 

• Ensure adherence to timelines, payer guidelines, and compliance protocols. 

• Provide oversight on key accounts and provider credentialing KPI’s 

🔹 Payer Contracting & Negotiation 

• Lead contract discussions with payers for mid-market practices. 

• Build persuasive business cases for higher reimbursement rates based on: 

• Practice specializations, access metrics, outcomes data 

• Regional need and CMS benchmarking 

• Patient volume, payer mix, and quality scores 

• Track, document, and manage contract lifecycle including renewals and renegotiations. 

🔹 Analytics & Benchmarking 

• Leverage CMS and payer data to compare reimbursement benchmarks by region and specialty. 

• Support financial modeling for contract proposals and renewals. 

• Collaborate with internal teams to visualize trends and payer performance. 

🔹 Client Engagement 

• Partner with client physicians, administrators, and billing managers to understand business goals. 

• Prepare and present strategic recommendations during client-facing meetings. 

• Deliver monthly reports on contract status, credentialing progress, and impact on revenue cycle. 

Qualifications 

✅ Required 

• Bachelor’s degree in healthcare administration, business, or related field. 

• 2–3 years of experience in U.S. payer credentialing and/or payer contracting. 

• Understanding of commercial and government payer processes. 

• Experience supporting or managing offshore credentialing operations. 

• Strong analytical and presentation skills with working knowledge of CMS reimbursement data. 

• Excellent verbal and written communication skills. 

✅ Preferred 

• Experience working with multi-specialty group practices or MSOs. 

• Knowledge of CAQH, PECOS, NPPES, and payer portals. 

• Familiarity with EMR/EHR systems and billing platforms (e.g., Kareo, Athena, eClinicalWorks). 

• CPCS or NAMSS certification a plus. 

Compensation & Benefits 

• Salary Range: $65,000 – $80,000 Including a 20%performance bonus 

• Medical, Dental & Vision Insurance 

• 401(k) with Company Match 

• Professional Development & Certification Reimbursement 

• Opportunity for growth into a Contracting Manager role