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Analyst - Contract Management & Payor Variance
1 month ago
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering exceptional health care. Come join us at ChristianaCare
ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as the Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care. ChristianaCare is shaping the future of health care
PRIMARY FUNCTION:
Update contract management systems and schedules related to changes in managed care contracts and government reimbursement for system services.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Implement required additions, revisions, and updates to Contract Management system for managed care and governmental payers, including annual contract updates and quarterly fee schedule revisions.
- Document all system changes via “Change Control process managed by IT. Thoroughly test all new contract build, as well as contract and fee schedule updates to determine if claims are netting down correctly prior to loading payment terms into production.
- Conduct payment reviews to identify payer variances resulting from incorrect system set up, policy changes, or payer noncompliance.
- Maintain payor files including contract agreements, fee schedules, and amendments.
- Work closely with immediate manager and team, communicating in daily huddles.
- Strong independent work ethic and self-motivated to complete daily tasks and other projects.
- Attend and participate in departmental staff and management staff meetings.
- Adhere to established departmental safety rules and practices.
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Bachelor’s Degree and/or equivalent work experience.
- A minimum of two years of healthcare billing/accounts receivable or payor contract management experience preferred.
- Knowledge of payor contracting, third-party/managed care reimbursement and contract management systems preferred.
ChristianaCare Offers
- Full Medical, Dental, Vision, Life Insurance, etc.
- Two retirement planning offerings, including 403(b) with company contributions.
- Generous paid time off with annual roll-over and opportunities to cash out.
- 12-week paid parental leave
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more.
