Contract Management Analyst

Med-Metrix • Parsippany-Troy Hills, NJ

3d • Onsite

About The Position

The Contract Management Analyst ensures that contract provisions are loaded accurately and also regularly performs detailed analysis of pricing accuracy with summarized feedback for external clients and internal leadership. This role involves loading Managed Care contracts into the Contract Management system, performing regular analysis and validation of expected reimbursement, and preparing and reviewing Managed Care models. The analyst will also provide detailed contract feedback on antiquated terms and potential revenue leakage, learn application functionality, and grow industry knowledge. Adherence to HIPAA standards for patient data is crucial.

Requirements

• Bachelor's degree required
• Minimum 3 years work experience including healthcare financial analysis and Managed Care contracts/Contract Management
• Experience with interpreting Managed Care contracts both governmental and private
• Revenue cycle management experience is required
• Highly numerical aptitude with excellent analytical skills
• Ability to thrive in a fast paced and dynamic work environment
• Excellent presentation skills
• Proficiency in Microsoft Office Suite, including advanced Excel knowledge and the ability to distill large files into executive summaries
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Responsibilities

• Load Managed Care contracts into the Contract Management system
• Perform regular analysis and validation of output of expected reimbursement from the Contract Management system
• Prepare and reviews Managed Care models including forecasting, data analytics and accuracy of system integrity
• Provide detail contract feedback on antiquated terms and areas of potential revenue leakage for internal and external clients
• Learn application functionality and grow industry knowledge
• Performs other duties as requested
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level