Contract Analyst

Christiana Care Health Services • Wilmington, DE

1d

About The Position

ChristianaCare is searching for a Contract Analyst to update contract management systems and schedules related to changes in managed care contracts and government reimbursement for system services. ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care, and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as the Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

Requirements

• Bachelor’s Degree and/or equivalent work experience.
• A minimum of two years of healthcare billing/accounts receivable or payor contract management experience preferred.
• Epic reimbursement contract experience preferred
• Knowledge of payor contracting, third-party/managed care reimbursement and contract management systems preferred.
• A Resolute Hospital Billing Expected Reimbursement Contracts Administration certification will be required to obtain within 6 months of date of hire.

Responsibilities

• Implement required additions, revisions, and updates to Contract Management system for managed care and governmental payers, including annual contract updates and quarterly fee schedule revisions.
• Document all system changes via “Change Control” process managed by IT.
• Thoroughly test all new contract build, as well as contract and fee schedule updates to determine if claims are netting down correctly prior to loading payment terms into production.
• Conduct payment reviews to identify payer variances resulting from incorrect system set up, policy changes, or payer noncompliance.
• Maintain payor files including contract agreements, fee schedules, and amendments.
• Work closely with immediate manager and team, communicating in daily huddles.
• Strong independent work ethic and self-motivated to complete daily tasks and other projects.
• Attend and participate in departmental staff and management staff meetings.
• Adhere to established departmental safety rules and practices.
• Perform other duties, as required.

Benefits

• Full Medical, Dental, Vision, Life Insurance, etc.
• Two retirement planning offerings, including 403(b) with company contributions
• Generous paid time off with annual roll-over and opportunities to cash out
• 12-week paid parental leave
• Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
• health insurance
• paid time off
• retirement
• an employee assistance program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree