Strategic Pricing Services Contract Analyst

Strategic Pricing Services Contract Analyst

This work from home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Do you have the career opportunities as a Strategic Pricing Services Contract Analyst you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

The Contract Analyst is responsible for translating managed care terms and model relevant parameters in Concuity/ ClearContracts Calc Engine to ensure accurate discounts on patient accounts and proper reflection of expected net revenue.

What you will do in this role:

• Model managed care contracts through the Concuity Calc Engine
• Performance of ad hoc analyses as assigned by departmental Director, Manager and Team Leads
• Performs Peer to Peer (Independent Review) for model changes related to rates or factors
• Completes testing of contract models by service line and keeps documentation of accuracy in permanent calc engine workflows
• Works with senior members of the department, develop a responsive relationship with customers emphasizing timeliness and accuracy
• Coordinate managed care for contract questions with Manager and Team Lead as applicable
• Participate in departmental training and professional development opportunities when available
• Adds value to Parallon Contract Modeling by producing accurate results, working efficiently, and continuing to grow in the position

What qualifications you will need:

• College undergraduate degree preferred
• Minimum of 1-3 years of experience preferred
• Working knowledge of managed care contracting and modeling desired

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Strategic Pricing Services Contract Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

HCA Healthcare