Payer & Managed Care Analyst

Job Summary Reporting 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. Licensure and Certification: * N/A 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. Knowledge and Skills: * 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. Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change. * Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level. * Occasional/intermittent reaching at or above shoulder level. * Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing. * Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds. * Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties. Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time

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