Managed Care Contract Analyst
2 months ago
Commonwealth Pain & Spine (CP&S) is one of the fastest growing, progressive, comprehensive pain management groups in Kentucky and Southern Indiana. Our team of friendly physicians are all board certified in pain medicine and anesthesiology and take the time to educate our staff. Our facilities are brand new with the latest technology. We have a team/family-oriented culture with great hours, competitive pay, benefits, and open interaction between our staff and management.
This position has the opportunity to become hybrid with a mix of working in the office and remotely.
The Analyst is responsible for developing proactive solutions for managed care contracts. Serves as a lead and data expert for implementation, dashboards pertaining to managed care contracting and performance outcome success. This position will update the dashboard, validate data, and forecast performance reporting and functionality. This position represents both internal and external progress, incentives and initiatives in their area as well as educating and training internal and external stakeholders on the organization's system wide initiatives.
Key Responsibilities:
- Assist in tracking and trending contract issues.
- Possess extensive knowledge of payor contracts and policies.
- Identify variances, trends, and contracting omissions.
- Create and maintain detailed reports and review with Director of Contracting
- Assist in assessing and analyzing current payor contracts for areas of improvement and contract maximization during contract negotiation.
- Review and present findings, solutions, and recommendations Director of Contracting and Credentialing.
- Memorize and comprehend contract terms, renewal and end dates, or other time-sensitive information.
- Analyze coding, reimbursement hierarchy, interpret verbiage and contract language intent.
- Research and variance recovery, global trends of variances, and contact payors to recover underpayments.
- Maintain systems and track variance statistics.
- Analyze relevant data to provide reports, which includes determining the impact of adjustments to managed care reimbursement terms and/or contract compliance, along with rate modeling necessary for contract negotiations.
- Collaborate with Payment Specialist team to determine accuracy of insurance payments.
- Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct payments.
- Manages and maintains charge master.
- Performs other duties, as assigned.
- All other duties assigned including duties performed for affiliates, assigns, lessees, contractors or other third parties
Required Skills:
- Strong organizational skills and demonstrated ability to work independently and prioritize responsibilities.
- Adheres to all patient confidentiality policies and carries out all tasks in a pleasant and respectful manner.
- Knowledge of industry-specific terminology, billing and collections principles and best practices with complete understanding of relevant laws, rules, and regulations
- This position requires the use of critical thinking skills to interpret complex managed care contracts to maintain the Contract Management System and ensure estimated reimbursement is calculating maximum and correct reimbursement.
- Bachelor's degree preferred.
- 3-5 years of Managed Care or contracting experience required.
- Knowledge of CPT coding
- If required to travel for company related purposes:
- Active, valid driver 's license
- State minimum coverage vehicle insurance
- Must be able to pass driving history/motor vehicle check upon hire and maintain an acceptable record thereafter
- Maintain status as an "approved driver" through the HR department, including submitting required documentation before expiration
- Competitive compensation
- License and DEA Reimbursement
- Annual Education/CME reimbursement
- Comprehensive Health/Vision/Dental insurance options
- Great PTO plan PLUS Paid Holidays
- 401k and matching available
Commonwealth Pain and Spine is an Equal Employment Opportunity Employer
We have other current jobs related to this field that you can find below
-
CONTRACT: Accounts Payable Analyst
1 month ago
Louisville, United States Jobot Full timeCONTRACT: Accounts Payable Analyst/$$$/TOP Compensation & Benefits!!This Jobot Consulting Job is hosted by: Evan FlynnAre you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $22 - $32 per hourA bit about us:Our client is a well-known healthcare provider serving a wide area. They offer a variety of medical services...
-
CONTRACT: Accounts Payable Analyst
22 hours ago
Louisville, United States Jobot Full timeCONTRACT: Accounts Payable Analyst/$$$/TOP Compensation & Benefits!!This Jobot Job is hosted by: Evan FlynnAre you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $22 - $32 per hourA bit about us:Our client is a well-known healthcare provider serving a wide area. They offer a variety of medical services through...
-
Intensive Care Unit RN
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking ICU/CCU RNs in Louisville, Kentucky for a 13-week assignment at a partnering hospital. With our national...
-
Intensive Care Unit RN
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking ICU/CCU RNs in Louisville, Kentucky for a 13-week assignment at a partnering hospital. With our national...
-
Intensive Care Unit RN
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire ICU RNs. For more than 30 years, we've specialized in...
-
Intensive Care Unit RN
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire ICU RNs. For more than 30 years, we've specialized in...
-
Intensive Care Unit RN
7 days ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is seeking ICU/CCU RNs in Louisville, Kentucky for a 13-week assignment at a...
-
Intensive Care Unit RN
6 days ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Louisville, Kentucky. Specialty: ICU - Intensive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is seeking ICU/CCU RNs in Louisville, Kentucky for a 13-week assignment at a...
-
Registered Nurse
3 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire Neuro Progressive Care Unit Registered Nurses. For...
-
Registered Nurse
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire Neuro Progressive Care Unit Registered Nurses. For...
-
Financial Planning Analyst
2 months ago
Louisville, United States Addiction Recovery Care Full timeAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to...
-
Registered Nurse
1 week ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is seeking Neuro Progressive Care Unit Registered Nurses in Louisville, Kentucky...
-
Registered Nurse
1 week ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is seeking Neuro Progressive Care Unit Registered Nurses in Louisville, Kentucky...
-
Registered Nurse
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire Neuro Progressive Care...
-
Registered Nurse
2 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel Supplemental Health Care is working with a hospital in Louisville, Kentucky to hire Neuro Progressive Care...
-
Financial Planning Analyst
3 months ago
Louisville, United States Addiction Recovery Care Full timeAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to...
-
Financial Planning Analyst
3 months ago
Louisville, United States Addiction Recovery Care Full timeJob DescriptionJob DescriptionAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!Are you passionate about serving in an environment of shared purpose and shared goals while driving the...
-
Financial Planning Analyst
3 months ago
Louisville, United States Addiction Recovery Care Full timeAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to...
-
Senior Financial Analyst
2 months ago
Louisville, United States Onco360 Full timeExciting new opportunity with Onco360! Onco360 is looking for a Senior Financial Analyst to be based at our corporate office in Louisville, KY. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary of $70,000 and up We offer great...
-
Registered Nurse
3 weeks ago
Louisville, KY, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Louisville, Kentucky. Neuro PCU - Progressive Care Unit Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking Neuro Progressive Care Unit Registered Nurses in Louisville, Kentucky for a 13-week assignment at a...
