Analyst

1 week ago


Dallas, United States Enovis Full time

Job Description:

At Enovis we pay attention to the details. We embrace collaboration with our partners and patients. We take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it.

Because that‘s how we change the lives of patients for the better. And that‘s how we create better together. Why work at Enovis? . See for yourself

As a key member of the Payor Development Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.

Job Title:

Payor Relations Analyst

Reports To:

Director, RCM Operations

Location:

Dallas Headquarters (2900 Lake Vista Drive, Suite 200, Lewisville, TX 75067)

Business Unit Description:

Revenue Cycle Management (RCM)

Job Title/High-Level Position Summary: The Payor Relations Analyst is responsible for providing daily administrative support for insurance payor contract uploads, fee schedule updates, contract rate reviews, re-credentialing submissions and timely response to payor questions to both internal and external customers. This position is also responsible for quality control of the Payor Entry Database, payor contracts, and ensuring that contracts are compliant with the agreed upon terms.

Key Responsibilities:

  • Maintains relevant reimbursement payor databases including policy, billing, pricing information, contract agreements, and non-contracted payor demographics.
  • Monitors, audits, and follows up on all new agreements at 60-120-180 days to ensure the agreement is functioning appropriately with all reports and resources provided.
  • Proactively identifies trends that are attributing to aged Accounts Receivable and contractual write-offs resulting from payor (external) and operational (internal) non-compliance with the contract and problem-solves with the appropriate party (i.e., payor and/or internal departments).
  • Responsible for all credentialing and licensure requests from payors to maintain current accreditation and access to plan members under assigned geographic region.
  • Applies, maintains, and updates all State Medicaid plan information.
  • Monitors State Medicaid website, provider portal, and fee schedules, and completes annual enrollment and/or credentialing/attestations to ensure Enovis has an in-network participating status under assigned geographic region.
  • Researches and responds to inquiries from internal departments regarding contracted payors‘ participation status, and internal operational processes.
  • Works with Payor Development Leadership to interpret third-party payor coverage policies, maintaining documentation requirements necessary to support Medical Necessity of Enovis products and services.

Minimum Basic Qualifications:

  • 3 - 5 years‘ experience in a medical reimbursement environment (e.g., patient billing, claims processing, healthcare/insurance contracting support).
  • Proficiency in insurance/payor reimbursement including an understanding of payors on a national scale.
  • Demonstrated knowledge of managed care and other payor‘s guidelines and criteria for reimbursement.
  • Demonstrate ability to interpret payor policy and criteria
  • Exceptional verbal and written communication skills to internal and external customers required.

Travel Requirements:

  • Must be able to travel up to 5% of the time.

Desired Characteristics:

  • 3-5 years payor credentialing experience with DME provider.

*

‘Creating better together‘. It‘s the Enovis purpose, and it‘s what drives us and empowers us every day on a global scale. We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.

What does creating better together mean to us at Enovis? Discover the ‘why‘ behind our purpose, values and behaviors:

Our Enovis Purpose, Values and Behaviors on Vimeo

We offer a comprehensive benefits package that includes:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Spending and Savings Accounts
  • 401(k) Plan
  • Vacation, Sick Leave, and Holidays
  • Income Protection Plans
  • Discounted Insurance Rates
  • Legal Services

ABOUT ENOVIS

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent, and innovation, the company‘s extensive range of products, services, and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit www.enovis.com to learn more.

EQUAL EMPLOYMENT OPPORTUNITY

Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees‘ beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.

Join us in creating better together.

ABOUT ENOVIS

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company‘s extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond.For more information about Enovis, please visit www.enovis.com.

EOE AA M/F/VET/Disability Statement

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.



  • Dallas, United States LP Analyst Full time

    Company OverviewLP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry’s most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today’s demanding investors.Our firm truly...


  • dallas, United States LP Analyst Full time

    Company OverviewLP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry’s most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today’s demanding investors.Our firm truly...


  • Dallas, TX, United States LP Analyst Full time

    Company Overview LP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry’s most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today’s demanding investors. Our firm...


  • Dallas, United States LP Analyst Full time

    Company Overview LP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry's most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today's demanding investors. Our firm truly...


  • Dallas, Texas, United States LP Analyst Full time

    Company OverviewLP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that works closely with many of the industry's most prominent institutional investors (LPs) and fund managers (GPs) to get better, more actionable decision-making intelligence into the hands of today's demanding investors.We truly sit at the...

  • Software Engineer

    2 weeks ago


    Dallas, United States LP Analyst Full time

    Company Overview LP Analyst is the leading cloud-based private asset portfolio management analytics platform for institutional limited partners. We work closely with many of the industry's most prominent institutional investors and fund managers to get better, more actionable decision-making intelligence into the hands of today's demanding investors. Our...

  • Software Engineer

    2 months ago


    Dallas, United States LP Analyst Full time

    Company Overview LP Analyst is the leading cloud-based private asset portfolio management analytics platform for institutional limited partners. We work closely with many of the industry's most prominent institutional investors and fund managers to get better, more actionable decision-making intelligence into the hands of today's demanding investors. Our...


  • Dallas, Texas, United States LP Analyst Full time

    **About Us:** LP Analyst is a pioneering firm in the private asset analytics space, dedicated to providing innovative solutions to institutional investors and fund managers.We are currently seeking a highly skilled Document Coordinator to join our team. As a key member of our Private Asset Analyst team, you will play a vital role in supporting our clients'...


  • Dallas, Texas, United States LP Analyst Full time

    Job OverviewLP Analyst is a leading independent private asset cloud-based analytics and consulting solutions firm that delivers actionable intelligence to prominent institutional investors.We are seeking highly motivated Asset Analytics Experts to join our team. As an expert in this field, you will play a key role in helping our clients achieve success by...


  • Dallas, Texas, United States LP Analyst Full time

    Company OverviewLP Analyst is a pioneering firm in the cloud-based private asset portfolio management analytics space. We collaborate closely with prominent institutional investors and fund managers to provide actionable decision-making intelligence.Job SummaryWe are seeking an innovative software engineer to join our team. In this role, you will act as a...


  • Dallas, Texas, United States LP Analyst Full time

    Job SummaryLP Analyst seeks a highly motivated individual to join our team as a Software Engineer. In this role, you will act as a liaison between business and development teams, ensuring effective translation of internal business application vision into technical execution. You will be responsible for designing, coding, debugging, and maintaining...

  • Chemical Analyst

    4 days ago


    Dallas, Texas, United States Apex Systems Full time

    Chemical Analyst RoleApex Systems is currently seeking a highly skilled chemical analyst to join our team. In this role, you will be responsible for conducting complex chemical analyses, developing and implementing new test methods, and providing expert guidance to junior analysts.The ideal candidate will have a strong background in chemistry, excellent...


  • Dallas, United States Cyber Defense Technologies Full time

    Position: Cyber Analyst/ Cyber Security Analyst Overview: Cyber Defense Technologies (CDT), a leading small business cybersecurity and engineering firm, is seeking a skilled and detail-oriented Cyber Analyst/Cyber Security Analyst onsite in Dallas, TX with a TS/SCI clearance. In this role, you will monitor, analyze, for the purpose of mitigating threats. ...

  • Senior Data Analyst

    2 weeks ago


    Dallas, United States Genius Road, LLC Full time

    Senior Data Analyst #2470 Dallas, Texas - Information Technology. Senior Data Analyst Contract Length: 6-12 months plus potential extension Location: Dallas, Texas (Hybrid 3 days onsite) Our client requires a Senior Data Analyst to investigate da Data Analyst, Analyst, Senior, Technology, Staffing, Data

  • Business Analyst

    4 days ago


    Dallas, United States Optimize Search Group Full time

    This position is 100% onsiteBusiness Intelligence (BI) AnalystThe BI Analyst serves as a vital link between business objectives and data-driven solutions. This role is responsible for gathering and analyzing business needs, collaborating with cross-functional teams, and converting these requirements into clear technical specifications for data engineers and...

  • Senior Data Analyst

    3 weeks ago


    Dallas, United States Saxon Global Full time

    This is a 12 month contract. 100% remote. All visa - Avoid H1B. This is a Sr. Data Analyst role. Linkedin Must. Brief Job details: Senior Data Analyst 8-10 Years of Experience Mandatory Skills: Senior level Data Analyst with experience in ERWIN, ER Studio, Collibra, data governance or database design techniques

  • Data Analyst

    4 days ago


    Dallas, United States IDR Healthcare Full time

    IDR is seeking a passionate and detail-oriented Data Analyst to join one of our top clients in Dallas, TX. This role is perfect for someone who thrives in managing customer attributes, ensuring high levels of data quality, integrity, availability, and privacy. If you are looking for an opportunity to join a large organization and work within a team-oriented...

  • Data Analyst

    2 weeks ago


    Dallas, United States SysMind Tech Full time

    Under direct supervision of Data Analysts / Sr. Data Analysts, organizes, schedules meetings with key business stakeholders to understand underlying problem statement and synthesize corrective user action2. Provides deep-dive analysis into business problems and provide actionable insights for the respective teams3. Participates in presentation of reports to...

  • Data Analyst

    3 weeks ago


    Dallas, United States SysMind Tech Full time

    Under direct supervision of Data Analysts / Sr. Data Analysts, organizes, schedules meetings with key business stakeholders to understand underlying problem statement and synthesize corrective user action2. Provides deep-dive analysis into business problems and provide actionable insights for the respective teams3. Participates in presentation of reports to...

  • Business Analyst

    3 weeks ago


    Dallas, United States Forward Air Full time

    Position: Business Analyst Job Description: Forward Air is seeking a Business Analyst to work in the IT department as part of our Forward Air LTL Systems Agile teams. This position will be responsible for Forward Air LTL portfolio of systems including Customer Portals, Customer Integration APIs and other Internal systems. The Business Analyst will be...