Job Brief1 Opening
Pay Range: PAYER & MANAGED CARE ANALYST - $37.92 to $60.68
Job SummaryReporting directly to the Payer Contracts Manager, the Payer Contracts Analyst is responsible for payer contracting analytics. Reviews and monitors contract/payer performance. Responsible for maintaining accurate payer rate information in hospital's systems. Responsible for overseeing ad hoc analysis in support of various HMNH initiatives.
What You'll Bring to the Team:- Excel
o Advanced knowledge of complex functions.
o Advanced ability reading, creating and interpreting computer and mathematical rules and formulas.
o Advanced ability to create complex, dynamic models in which multiple scenarios can be created and compared by manipulation of key variables. - Hospital EMR and Billing Systems
o Minimum of three (3) years of experience with hospital EHR, Billing and other financial systems.
o Prefer 5 years of experience with hospital EHR, Billing and other financial systems with experience building and maintaining system rules.
o Proficiency with word processing and presentation programs such as MS Word and PowerPoint, with a preference for knowledge and proficiency with MS Access. - Working knowledge of healthcare financial statements and accounting principles.
Licensure and Certification:Education:- Minimum Bachelor's Degree in economics, accounting, finance, healthcare policy, business administration.
- Preferred Master's Degree in economics, accounting, finance, healthcare policy, business administration.
Experience:- Minimum of three (3) years of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and managed care provider reimbursement methodologies.
