Data Entry Specialist

Contract And Data Analyst

Profession: Contract and Data Analyst

Specialty: Managed Care

Duration: Direct Hire

Shift: Days

Hours per Shift: 8 hours (Mon - Fri, 8am - 5pm)

Experience: Three (3) - four (4) years of related experience

Certifications: Obtain and maintain Epic certification in assigned application modules(s)

Must-Have:

• Experience with health plan insurance contracting and reimbursement for providers and facilities
• Strong analytical skills
• Experience with contract modeling and financial analysis
• Ability to work independently and within a team across multiple disciplines
• Working knowledge of Microsoft Excel, Word, Power BI, and Access
• Excellent interpersonal, written, and oral communication skills
• Detail-oriented mindset

Description:

Responsible for analysis of contracts and performing contract negotiations. Monitors and reviews existing contracts to ensure payment compliance. Communicates and resolves contract issues both internal and external to the organization. Contributes to negotiation strategies for contracts. Develops and builds contract projection models essential to negotiation outcomes. Analyzes contracts and communicates their operational impact to appropriate contacts. Develops models, analysis, and monitors financial performance of existing and proposed contracts. Ensures contracts are performing at expected levels by auditing financials. Negotiates with payors for owed money if appropriate. Reviews and negotiates language in the contracting negotiation processes. Produces and maintains data sets required for contract analysis. Develops and maintains processes to manage contracts. Resolves contractual disputes by collaborating with various entities and related parties. Responsible for analysis, development, and testing of contract projection models essential to negotiation outcomes. Builds programming and performs ongoing analysis to maintain the integrity of financial expectations. Resolves programming issues related to rate and revenue codes operations. Ensures thorough testing that the build is developed and performs as required. Performs other related duties as assigned to fulfill departmental responsibilities. Coordinates activities with others but does not supervise. Works with internal and external customers via telephone or face-to-face interactions. Engages frequently with individuals at the Director level or above.

Client Details City Tulsa State OK