Managed Care Contract Analyst

reputed company: Contract Analyst will be responsible for analytic support reputed company to ION network and providers. Team member will work closely with the Managed Care department team in generating and reviewing system data, while making strategic recommendations. The role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other internal teams with reimbursement reputed company concerns and acting as a reputed company to managed care plans. Essential Functions: • Support Managed Care team with reputed company relating to external providers, plan sponsors regulatory agencies, managed care payers, and the community. • Load contracted rates into contract management system. • Analyze relevant data to reputed company in reports, which includes determining the reputed company of adjustments to managed care reimbursement terms and/or contract compliance, along with reputed company modeling necessary for contract negotiations. • Collaborate with reimbursement analytic team to determine accuracy of insurance payments. • Create presentation materials for reputed company meetings. • reputed company as business reputed company to assigned business unit meetings and committees, which includes presenting and discussing new subject matter. • Identify and recommend improvements in processes for greater operational efficiency. • Maintain various department spreadsheets and databases. • Review managed care payer reputed company with a reputed company on interpreting and implementing reimbursement terms in a multi-functional approach to Managed Care strategies. • Assume other reputed company and assigned job duties reputed company to managed care, as needed. • Auditing reputed company to ensure reputed company payment in the reputed company tool. • Working with payers to resolve contract loading errors identified from audits. • Work in underpayment tool to appeal claims and recoup underpaid claims not reputed company according to the agreement. Qualifications: • Education: Bachelor's Degree or equivalent experience • Skills: Health care reimbursement experience in a health system, reputed company, or with a managed care payer preferred. Knowledge of basic reputed company Office tools required. Ability to work individually and in reputed company setting. Strong communication skills are necessary. • Years of Experience: 1-2 in Managed Care + contract negotiating experience with managed care payers. Preferred Qualifications: • Skills: Advanced knowledge of reputed company Office tools • Years of Experience: 3+ in Managed Care Physical Demands and work environment The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Physical demands: Required job duties are essentially sedentary in nature, consisting of occasional walking, standing, lifting and/or carrying ten pounds maximum, seeing, speaking and hearing. Work environment: Required job duties are normally performed in a climate-controlled office environment. Apply tot his job Apply To this Job