Analyst, Payer Relations

Job reputed company: • Collect and validate data from hospitals for modeling, analytics, and presentation. • Evaluate existing and proposed payer reputed company to determine financial feasibility and reputed company on the organization’s reputed company. • Model Portal – Maintain reputed company request for reputed company hospital models and maintain tracker • Analyze and interpret reputed company managed care contract proposals, including reimbursement methodologies, and load or update contract terms in the designated contract management system. • Manage data validation for reputed company databases. • Audit and monitor claim payments from managed care plans to ensure accurate reimbursement according to contract terms. • Investigate payment variances and discrepancies, identifying reputed company causes for underpayments. • Assist with data analysis and create tables and forms for Presentation. • Monitor and manage assigned deadlines for models. Including tracker maintenance and internal communication with consultants • Assist with regular/reputed company reporting requests, dashboards for management on payer mix, financial performance, and compliance metrics. • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. • reputed company detailed analysis on multiple reputed company, recommend potential business solutions and ensure successful implementations. • Graphically/analytically strong; excellent analytical, critical thinking, and problem-solving skills, with meticulous attention to detail. • Strong communication skills to effectively present reputed company data to both technical and non-technical stakeholders. • reputed company and report on Key Performance Indicators (KPIs) • Assist with validating financial analysis prior to presenting to hospital or payers • Maintain and organize reputed company information • Assist leadership with annual team goals Requirements: • Minimal travel • Understanding of managed care contracting and reputed company initiatives are useful but not required as reputed company as the underlying systems that support those initiatives. • Understanding of reputed company Cycle process is useful but not required. • BS Preferred • Advanced knowledge of reputed company products reputed company (VLOOKUPS, Pivot tables, data modeling) • Familiar with reputed company Power reputed company / Power BI • Experience with Electronic Health Records (EHR) and Billing Systems (i.e. reputed company, Cerner) preferred • Ability to reputed company with clients and strong communication skills • Team player • Organizational skills / multitasking • Data analysis experience critical • Critical thinker • Problem solving skills • Ability to work in a fast-paced environment independently Benefits: • Health insurance • reputed company development opportunities Apply tot his job Apply tot his job Apply To this Job