PayrAdvisors

We're #hiring a new Director of Managed Care in United States. Apply today or share this post with your network.

We're #hiring a new Consultant, Payer Advisory in United States. Apply today or share this post with your network.

We're #hiring a new Manager, Managed Care in United States. Apply today or share this post with your network.

Administrative overhead isn’t just creeping in - it’s being written in. Every prior auth. Every documentation request. Every appeal loop. 🔺 They’re not just time-consuming. 🔺 They’re contract-enabled and operationally expensive. Most provider groups track denials and underpayments. Fewer track the cost of compliance. But here’s what we’ve seen: → Prior auth requirements → Medical record requests → Appeals and recoupment cycles …are quietly consuming budgets through hiring, burnout, and delay. This isn’t theoretical. Every new hire to manage payer red tape is a direct response to contract terms. And those terms? 𝗨𝘀𝘂𝗮𝗹𝗹𝘆 𝗯𝘂𝗿𝗶𝗲𝗱. 𝗢𝗳𝘁𝗲𝗻 𝗻𝗲𝗴𝗼𝘁𝗶𝗮𝗯𝗹𝗲. We work with providers to pinpoint where payer behavior is driving excess overhead - and restructure agreements to reduce the drag. Your staffing model shouldn’t be built around someone else’s admin load. #ManagedCare #PayerStrategy #HealthcareOperations #ContractManagement #PayrAdvisors

What slows your team down isn’t always a poor workflow. Sometimes, it’s the fine print. That 3-day medical record deadline? It’s not just an operational ask, it’s a contractual agreement. And chances are, it’s buried in the policy attachments you didn’t see. You didn’t just inherit the problem. You signed it. ↳ A 30-day turnaround? Manageable. ↳ A 3-day request for 100+ records? That’s a fire drill. These aren’t standard processes. They’re negotiable terms, 𝘪𝘧 𝘺𝘰𝘶 𝘬𝘯𝘰𝘸 𝘸𝘩𝘦𝘳𝘦 𝘵𝘰 𝘭𝘰𝘰𝘬. We help provider organizations identify embedded admin overload in contract language. 🤝 Then, renegotiate the terms to protect both revenue and resources. Because what appears to be a staffing problem… is often a contracting one. #ManagedCare #PayerStrategy #HealthcareOperations #ContractManagement #PayrAdvisors

The majority of teams concentrate on the fee schedule. But the real pressure points? They’re in the language. → When do payments get released? → Can payers recoup an overpayment months later? → What’s your protection if you are underpaid? These details aren’t just legalese. They shape your revenue cycle, your cash flow, and your risk exposure. And if a dispute escalates? Arbitrators and judges don’t guess your intent. 📑 They read the contract. That’s why we treat every clause - every term - as a financial decision. Because reimbursement rates may look fair. But without the right language, 𝘁𝗵𝗲𝘆 𝗱𝗼𝗻’𝘁 𝗵𝗼𝗹𝗱 𝘂𝗽. #ManagedCare #HealthcareFinance #PayerNegotiation #ContractLanguage #ReimbursementStrategy

The industry assumption? More expensive = more effective. We challenge that. In managed care consulting such thinking can cost you more than just margin. At PayrAdvisors, we’ve flipped the model: ✔️ Cost-effective services that don’t sacrifice outcomes ✔️ Access to robust payer + provider data ✔️ Contract strategies built from real-world experience We’re not here to outspend the market. We’re here to outperform it. When you combine deep domain expertise with lean operations, you get something rare: A partner that’s smart, scalable, and strategic. 𝗢𝗻𝗲 𝘁𝗵𝗮𝘁 𝗰𝗵𝗮𝗻𝗴𝗲𝘀 𝘁𝗵𝗲 𝗴𝗮𝗺𝗲. #HealthcareFinance #ManagedCare #PayerNegotiation #ContractingStrategy

Dozens of firms claim they can negotiate better contracts. Most never mention how they actually do it. Here’s what makes us stop and pay attention: → 'I’ve renegotiated regional payer contracts that dropped denial rates by 18%.' → 'I’ve rebuilt rate structures to reflect actual cost-to-serve across 4 specialties.' → 'I’ve worked inside health systems, ASCs, and consulting - so I know both sides of the table.' → 'I audit contracts for operational strain, not just reimbursement gaps.' This is what experience looks like: 🤝 𝘕𝘰𝘵 𝘺𝘦𝘢𝘳𝘴 𝘰𝘯 𝘱𝘢𝘱𝘦𝘳. 𝘉𝘶𝘵 𝘳𝘦𝘱𝘴 𝘪𝘯 𝘵𝘩𝘦 𝘳𝘰𝘰𝘮. 𝘞𝘪𝘯𝘴 𝘪𝘯 𝘵𝘩𝘦 𝘳𝘦𝘢𝘭 𝘸𝘰𝘳𝘭𝘥. In managed care, what you’ve done shapes what you can negotiate. So if you’re reaching out with a story, make it specific. The industry’s changing fast. And deep experience isn’t just a line on a resume. It’s your leverage. #ManagedCare #PayerStrategy #HealthcareFinance #ContractNegotiation

Ask any firm what makes them different, and you’ll hear the same list: 𝟭. 𝗘𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗲𝗱 𝘁𝗲𝗮𝗺. 𝟮. 𝗕𝗿𝗼𝗮𝗱 𝗯𝗮𝗰𝗸𝗴𝗿𝗼𝘂𝗻𝗱𝘀. 𝟯. 𝗦𝘁𝗿𝗼𝗻𝗴 𝗼𝘂𝘁𝗰𝗼𝗺𝗲𝘀. But here’s what actually creates an advantage in managed care: → A team that’s negotiated with payers at every level - regional and national. → Resumes that include hospital systems, multi-specialty groups, and consulting powerhouses. → Firsthand insight into how contracts are structured - and how they break. It’s not experience for the sake of it. It’s experience that translates directly into stronger results. Because when a client needs leverage, we’re not guessing where to find it. We’ve likely seen that exact clause, fee schedule, or loophole - and know how to push it. That’s our competitive edge ⚡️. Not simply showing up with a playbook, 𝘣𝘶𝘵 𝘬𝘯𝘰𝘸𝘪𝘯𝘨 𝘩𝘰𝘸 𝘵𝘰 𝘳𝘦𝘸𝘳𝘪𝘵𝘦 𝘪𝘵. #HealthcareFinance #ManagedCare #PayerStrategy #ContractingExpertise

We're #hiring a new Manager, Managed Care in United States. Apply today or share this post with your network.