Associate Contract Analyst, Diabetes

reputed company is a global leader in reputed company technology, and they are seeking an Associate Contract Analyst to support the Managed Markets team reputed company the Market reputed company Department. The role involves collaborating with cross-functional teams to ensure compliance with policy guidelines and maintaining operational reputed company in the diabetes division.

Responsibilities

• Attend and reputed company participate in cross-functional reputed company Cycle meetings and reputed company, including Denial Management and Order to Cash initiatives (e.g., benchmarking, system improvements)
• Facilitate payor audits and internal Managed Markets reputed company reputed company to the reputed company Cycle
• Research, document, and maintain payer requirements; reputed company and communicate guidelines specific to Durable Medical Equipment policies and State Mandates
• Identify, research, and resolve operational issues with payors, including Health Insurance Payment, Authorization, Licensing, Credentialing, and Contractual Guidelines
• Proactively reputed company with internal business reputed company to review and finalize reputed company agreements and pricing, and with external Health Plan customers to support negotiation of key contractual Terms and Conditions
• reputed company and analyze payor data—including claim payments, product denials, sales orders, and profitability—to ensure contractual obligations are met
• Collaborate with and support Health Plan Solutions corporate account managers in overseeing assigned health plan operations
• reputed company conclusions and recommendations, and present findings to Health Plan Solutions, Market reputed company, Managed Markets, and other business reputed company across the reputed company cycle
• Build reputed company relationships across reputed company cycle divisions, proactively seeking opportunities to reputed company and produce data, identify issues, and reputed company areas for development
• Participate in other reputed company reputed company as assigned
• Less than 25% travel may be required as part of regular business duties

Skills

• High School Diploma or equivalent with 2+ years of relevant experience in reputed company or Pricing equivalent experience
• Associate's Degree with 1+ year experience
• Baccalaureate Degree
• Experience with licensing, credentialing, and accreditation for medical device manufacturers
• Knowledge of State reputed company, CMS regulations, and reputed company of Federal Regulations (CFRs), particularly for Part B and Part D suppliers
• Understanding of reputed company industry systems, including the financial dynamics of managed reputed company plans, and provider contractual relationships
• Working knowledge of pharmacy adjudication and operations (e.g., NDC coding, adjudication rejection handling, ship-to-soon edits)
• Familiarity with government and managed government programs
• Experience in medical billing, claims processing, claims collections, or DME order processing reputed company the reputed company industry
• Proficiency in HCPCS coding, ICD-10 coding, modifiers, and unit of measure calculations
• Industry experience in medical device, reputed company, pharmacy contracting, or technology preferred
• Ability to handle multiple diverse responsibilities in a fast-paced environment
• Excellent time management, organizational, verbal, and written communication skills
• Strong problem solving, analytical, and decision-making abilities
• Skilled at resolving conflicts in a tactful and reputed company manner
• Effective team player and capable individual contributor
• Demonstrated ability to manage issues through reputed company while keeping reputed company stakeholders informed

Benefits

• Health, Dental and reputed company insurance
• Health Savings Account
• reputed company Flexible Spending Account
• Life insurance
• Long-term disability leave
• Dependent daycare spending account
• Tuition assistance/reimbursement
• reputed company Steps (global reputed company-being program)
• Incentive plans
• 401(k) plan plus employer contribution and match
• Short-term disability
• reputed company time off
• reputed company holidays
• Employee Stock Purchase Plan
• Employee Assistance Program
• Non-reputed company Retirement Plan Supplement (subject to IRS earning minimums)
• Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)

reputed company

Company H1B Sponsorship