Contract Systems
4 weeks ago
Overview:
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Contract Systems & Data Analyst manages all projects assigned under the direction and guidance of the manager within their area of responsibility while supporting the initiatives and goals of the Department.
Responsibilities:A day in the life of a Contract Systems & Data Analyst at Hackensack Meridian Health includes:
- Model financial impact of contract proposals and recommend rate strategies to achieve the desired outcome. Use data driven analytics to maximize rate returns.
- Identify areas of concern impacting revenue by closely monitoring financial performance and compliance with managed care contract terms to ensure revenue is maximized.
- Development models to analyze payor trends focusing on utilization, service mix, revenue cash collections and write-offs.
- Compile trends/targets & expectations for assigned payors or Charge Description Master (CDM) monthly.
- Perform additional ad hoc projects as assigned.
- Monitor all issues with respect to Revenue Operations for assigned payors or CDM and collaborate with operations & Managed Care to correct.
- Report issues & impact analysis to the Revenue Operations & Contracting Manager.
- Well-versed in data modeling concepts with ability to perform complex relational database tasks.
- Collaborate with the Managed Care department to ensure the terms and rates modeled are reflected in the final contract.
- Provide leadership to create a dynamic analytic/strategy team tasked with providing strategic direction and operational management for all financial activities supporting commercial payers.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
- Bachelor's degree in Computer Science, Business Analytics, or related degree.
- Minimum of 5 years of experience in financial/business analytics, data mining and/or informatics.
- Strong problem-solving and critical thinking ability.
- Effective oral and written communication.
- Collaboration with other team members.
Education, Knowledge, Skills and Abilities Preferred:
- Masters in Computer Science, Business Analytics, or related degree.
- Minimum of 2 years of healthcare experience in managed care contract management.
- Relational database experience including SQL proficiency.
- Experience with data transformation and visualization tools (Alteryx, Looker, etc.).
- Epic Certified - Clarity Data Models, Resolute Hospital Billing & Claims and Professional Billing.
- Basic familiarity with healthcare revenue cycle including medical coding concepts (i.e. CPT, DRG, Facility vs Professional fees).
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today
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