Prime Healthcare

Contracts Analyst - HPO - PHMI Managed Care - Dallas

Facility Prime Healthcare Management Inc
Location
US-CA-Ontario
ID
2021-72324
Category
Business Professional
Position Type
Full Time
Shift
Days

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.

 

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Qualifications

Education and Work Experience

 

  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 reimbursement methodologies and guidelines preferred
  8. Experience evaluating potential new products, services, and programs in the Medicare, Medicaid, and commercial value-based care environment
  9. 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

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