Contracts Analyst - HPO - PHMI Managed Care - Dallas in Plano, TX at Prime Healthcare

Date Posted: 10/17/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    6652 Pinecrest Drive
    Plano, TX
  • Job Type:
  • Experience:
    At least 5 year(s)
  • Date Posted:
    10/17/2020

Job Description

Responsibilities The Contract Analyst will ensure compliance with corporate policies regarding payment and contractual allowance verification with all payers by managing the software systems that contains all payer contracts and calculations of expected reimbursement. The Contract Analyst will provide decision support to management as needed for new and or changing reimbursement rates. The Contract Analyst will review contract terminology and concepts and analyze data to ensure contract performance. Supports strategies for maximizing contract reimbursement and value. Identifies and interprets trends and patterns within contracting to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge.

 

#LI-CC1

  1. Bachelor’s Degree in the healthcare field 
  2. 5 years of previous experience in a healthcare organization with a focus on contracting and financial analysis required
  3. 5 years’ experience with validating and loading contracts 
  4. Excellent oral and written communication and interpersonal skills required
  5. Excellent analytical skills required 
  6. Experience with database and data analysis technology 
  7. Knowledge of provider contracting, financial arrangements, and fee schedules, including understanding of healthcare
  8. reimbursement methodologies and guidelines preferred
  9. Experience evaluating potential new products, services, and programs in the Medicare, Medicaid, and commercial value-
  10. based care environment
  11. Experience with contract modeling and contract loading 
We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf