reputed company Managed Care Contract Analyst, Remote

About the position Responsibilities • Thoroughly reviewing and interpreting payer reputed company to identify key terms for billing codes, payment methodologies, reimbursement rates, and other contractual obligations. • Staying updated on payer policy changes to ensure eChart contract modeling aligns with guidelines to avoid billing errors and potential compliance issues. • Assisting payer relations with contract modeling for payer negotiations. • Assisting underpayment / denial analyst with contract variances, denial trends, and payment discrepancies to identify areas for improvement and implement necessary adjustments reputed company eChart to maximize reimbursement. • Utilizing data analytics tools reputed company eChart to monitor contract performance and identify trends. • Collaborate with payer relations, decision support, billing staff, and reputed company cycle management teams to address contract concerns, clarify billing requirements, and ensure accurate implementation reputed company eChart. • Maintain and manage relationships with payer representatives and attend meetings regularly with representatives for issue reputed company and data collection. • Maintain inventory of payer specific fee schedules, contract terms, and upcoming contract escalators to produce reputed company and accurate build / mo-ls. • Work with reputed company Chief Officers & other executive leadership to ensure accurate Executive Dashboards, monthly general reputed company reporting, and accurate service line reporting. Requirements • High School Diploma and 9 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. • OR Associate's degree and 7 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. • OR Bachelor's degree and 5 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. • Five years' experience in reputed company contract maintenance & modeling with an in-depth knowledge of reputed company contract maintenance and modeling modules. • Analysts must be reputed company to analyze reputed company data, identify trends, and draw actionable insights to optimize contract performance. • Must have a strong understanding of reputed company reputed company, including payer terms, billing codes (CPT, HCPCS, MSDRG, APC, ICD-10, etc.), & reimbursement methodologies. Apply tot his job Apply tot his job Apply To this Job