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Payer & Managed Care Analyst

$37.92 - $60.68 per hour

Henry Mayo Newhall Hospital

Job Brief

1 Opening

Pay Range: PAYER & MANAGED CARE ANALYST - $37.92 to $60.68

Job Summary

Reporting directly to the Payer Contracts Manager, the Payer Contracts Analyst is responsible for payer contracting analytics. Reviews and monitors contract/payer performance. Responsible for maintaining accurate payer rate information in hospital's systems. Responsible for overseeing ad hoc analysis in support of various HMNH initiatives.

Licensure and Certification:
  • N/A
Education:
  • Minimum Bachelor's Degree in economics, accounting, finance, healthcare policy, business administration.
  • Preferred Master's Degree in economics, accounting, finance, healthcare policy, business administration.
Experience:
  • Minimum of three (3) years of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and managed care provider reimbursement methodologies.
Knowledge and Skills:
  • Excel
    o Advanced knowledge of complex functions.
    o Advanced ability reading, creating and interpreting computer and mathematical rules and formulas.
    o Advanced ability to create complex, dynamic models in which multiple scenarios can be created and compared by manipulation of key variables.
  • Hospital EMR and Billing Systems
    o Minimum of three (3) years of experience with hospital EHR, Billing and other financial systems.
    o Prefer 5 years of experience with hospital EHR, Billing and other financial systems with experience building and maintaining system rules.
    o Proficiency with word processing and presentation programs such as MS Word and PowerPoint, with a preference for knowledge and proficiency with MS Access.
  • Working knowledge of healthcare financial statements and accounting principles.
Vacancy posted 3 days ago
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