Analyst-Business I

Baptist • Memphis, TN

7d

About The Position

Provides analytical support related to reimbursement to all levels of the organization. Assists hospital Business Offices in working payment variances in a timely manner. Assists with month-end close process for Managed Care. Works to support the system in regards to insurance master structure and maintenance. Completes assigned goals.

Requirements

• Five or more years’ experience in healthcare data reporting area such as managed care or decision support role.
• Expert level Excel, including using pivot table, and slicers.
• Excellent communication skills and demonstrated ability to interact with multiple levels within an organization.

Nice To Haves

• Experience in decision support or managed care.
• In depth knowledge of managed care contract language.
• Epic Certification

Responsibilities

• Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid, Blue Cross, and other payors.
• Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models.
• Support contract negotiations using contract-modeling software to evaluate and create reimbursement proposals.
• Maintain collaborative relationships with Managed Care Contracting and Patient Accounting share information regarding payor financial arrangements and contract models.
• Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling.
• Maintain Insurance master file for entire system

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees