Current jobs related to Senior Analyst Payor Contracting - Coeur D'Alene - Provisional Staffing Services

  • Benefit Contracts Specialist

    7 days ago

    Coeur d'Alene, Idaho, United States Cambia Health Solutions Full time

    About the RoleWe are seeking a highly skilled Benefit Contracts & Compliance Analyst to join our team at Cambia Health Solutions. As a key member of our Benefit Contracts Compliance team, you will play a critical role in developing and maintaining member enrollment materials, including booklets, contracts, and Summary of Benefit Changes (SBCs). Your...

  • Maintenance Technician

    2 weeks ago

    Coeur d'Alene, Idaho, United States Radiant Senior Living Full time

    About Radiant Senior LivingWe are a community that values care-centered culture, where our employees are treated with the same care and respect as our residents. Our Maintenance Technician plays a vital role in maintaining a comfortable and safe environment for our residents.The RoleWe are seeking a skilled Maintenance Technician to join our team. The...

  • Senior Digital Forensics Analyst

    1 month ago

    Creve Coeur, United States Bayer Full time

    At Bayer we’re visionaries, driven to solve the world’s toughest challenges and striving for a world where 'Health for all Hunger for none’ is no longer a dream, but a real possibility. We’re doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our...

  • Maintenance Tech

    3 weeks ago

    Coeur D'Alene, United States Radiant Senior Living Full time

    Job DetailsJob LocationID - The Renaissance - Coeur d Alene, IDPosition TypeFull TimeEducation LevelHigh SchoolSalary Range$17.00 HourlyJob ShiftDayDescriptionAt our community, we embrace a care-centered culture that begins with caring for our employees in the same way we care for our residents. Our Maintenance Tech plays an extremely important role in our...

  • Maintenance Tech

    2 weeks ago

    Coeur D'Alene, United States Radiant Senior Living Full time

    Job DetailsJob Location ID - The Renaissance - Coeur d Alene, ID Position Type Full Time Education Level High School Salary Range $17.00 Hourly Job Shift Day Description At our community, we embrace a care-centered culture that begins with caring for our employees in the same way we care for our residents. Our Maintenance Tech plays an extremely important...

  • Travel Nurse Position

    4 days ago

    Coeur d'Alene, Idaho, United States FlexCare Medical Staffing Full time

    Travel Nursing Opportunity with FlexCare Medical StaffingWe are seeking an experienced Medical Surgical Registered Nurse for a travel nursing assignment in Coeur d'Alene, ID. This exciting opportunity offers a 13-week contract with a competitive pay package.About the AssignmentShift: 3x12 hour nightsStart Date: October 7, 2024Duration: 13 weeksPay:...

  • Travel Nurse Position

    1 day ago

    Coeur d'Alene, Idaho, United States FlexCare Medical Staffing Full time

    Travel Nursing Opportunity with FlexCare Medical StaffingWe are seeking an experienced Stepdown Unit Registered Nurse for a travel nursing assignment in Coeur d'Alene, ID. This exciting opportunity offers a 13-week contract with a competitive pay rate of $2976 per week.About the AssignmentThis travel nursing assignment is a great opportunity to work in a...

  • Dietician

    3 months ago

    Coeur d'Alene, United States Continuum Medical Staffing Full time

    Job DescriptionJob DescriptionDietician needed to support hosptial system for long term contract assignment.  Housing, travel, benefits offered to the qualified candidate.  '..Identifies and provides age specific nutrition counseling to meet the cultural needs of the patients and their families. Performs duties in support of and in compliance with...

  • Travel Nurse Position

    7 days ago

    Coeur d'Alene, Idaho, United States FlexCare Medical Staffing Full time

    Travel Nursing Opportunity with FlexCare Medical StaffingWe are seeking an experienced Medical Surgical Registered Nurse for a travel nursing assignment in Coeur d'Alene, ID. This exciting opportunity offers a 13-week contract with a competitive pay package.About the AssignmentShift: 3x12 hour nightsStart Date: October 7, 2024Duration: 13 weeksPay:...

  • Operations and Safety Manager

    3 weeks ago

    Coeur d'Alene, Idaho, United States MV Transportation Full time

    Job SummaryMV Transportation is seeking a highly skilled Operations and Safety Manager to oversee the safe and efficient operation of our transportation services. This key role will be responsible for ensuring compliance with regulatory requirements, developing and implementing safety protocols, and leading a team of safety professionals.Key...

  • Facilities Maintenance Manager

    4 weeks ago

    Coeur d'Alene, Idaho, United States Prestige Care Inc Full time

    What does the Facilities Maintenance Manager do? Are you looking to make a significant impact with your facilities and maintenance expertise? In the role of Facilities Maintenance Manager, you will oversee the maintenance services for our community's buildings, equipment, and grounds. Your leadership will ensure a safe and welcoming environment for all...

  • Facilities Operations Manager

    4 weeks ago

    Coeur d'Alene, Idaho, United States Prestige Care and Rehabilitation - Pinewood Terrace Full time

    Compensation: Hourly Pay Rate Maximum: 28, Pay Rate Minimum: 20Role Overview:As the Facilities Operations Manager, your expertise in maintenance and construction will play a crucial role in enhancing the lives of our residents. You will be responsible for ensuring that our assisted living community remains a safe and welcoming environment for all.Why Choose...

  • Quality Director

    3 months ago

    Coeur d'Alene, United States Advanced Input Systems Full time

    Job DescriptionJob DescriptionSalary: AIS is at the forefront of the Human Machine eXperience (HMX) revolution, leading the way with a diverse portfolio of cutting-edge electro-mechanical assemblies and immersive products. Our work spans across various industries, including virtual reality, electronic wearables, infection control products, medical &...

  • Quality Director

    2 days ago

    Coeur d'Alene, United States Advanced Input Systems Full time

    Job DescriptionJob DescriptionSalary: AIS is at the forefront of the Human Machine eXperience (HMX) revolution, leading the way with a diverse portfolio of cutting-edge electro-mechanical assemblies and immersive products. Our work spans across various industries, including virtual reality, electronic wearables, infection control products, medical &...

  • Dietary Manager

    2 days ago

    Coeur d'Alene, United States CDAH Management Full time

    Job DescriptionJob DescriptionDescription:IntroductionFor more than 100 years, Orchard Ridge Assisted Living has cared for seniors. We are a nonprofit and one of only a few assisted living's that have been awarded the Gold Excellence of Care by the Idaho Department of Health and Welfare! Our team works cooperatively together to ensure all resident needs...

  • Credit Portfolio Supervisor

    4 weeks ago

    Coeur d'Alene, Idaho, United States Mountain West Bank Full time

    Position Overview:Are you passionate about your workplace? We certainly are!Become a part of Mountain West Bank, a company that prioritizes and honors its employees.Mountain West Bank has consistently been recognized on The Forbes TOP 20 List for eight consecutive years and has earned the title of one of the TOP 10 Best Places to Work in Idaho for 6 out of...

  • Senior Network Architect

    3 weeks ago

    Creve Coeur, Missouri, United States Prestige Staffing Full time

    About the RoleWe are seeking a highly skilled Senior Network Administrator to join our Information Technology department at Prestige Staffing. As a key member of our team, you will be responsible for providing expert-level support across our network infrastructure, ensuring seamless connectivity and optimal performance.Key ResponsibilitiesNetwork Monitoring...

  • Senior Network Administrator

    3 weeks ago

    Creve Coeur, United States Prestige Staffing Full time

    We have an opportunity for a full time Senior Network Administrator to join the Information Technology department providing support across our network infrastructure. This position reports to the Director of Information Technology and works closely with the rest of the IT team. Candidate must be available some evenings, nights and weekends to apply patches...

  • Senior Network Administrator

    3 weeks ago

    Creve Coeur, United States Prestige Staffing Full time

    We have an opportunity for a full time Senior Network Administrator to join the Information Technology department providing support across our network infrastructure. This position reports to the Director of Information Technology and works closely with the rest of the IT team. Candidate must be available some evenings, nights and weekends to apply patches...

  • Registered Nurse Travel Position

    3 weeks ago

    Creve Coeur, Missouri, United States LanceSoft Full time

    Position OverviewLanceSoft is currently seeking a dedicated travel nurse RN specializing in Med Surg for an exciting opportunity.Job DetailsSpecialty: Med SurgDiscipline: RNDuration: 16 weeksWeekly Hours: 36 hoursShift: 12-hour night shiftsEmployment Type: TravelBenefits: 401(k), comprehensive health benefits from day one, dental and vision insurance,...

Senior Analyst Payor Contracting

3 months ago

Coeur D'Alene, United States Provisional Staffing Services Full time

Details:

Large employer located in Cd'A, ID is seeking a Senior Analyst Payor Contracting.

Position will be supporting payor contracting by providing analyses related to the negotiation, pricing, implementation, ongoing maintenance, and performance of hospital contracts. Responsible for a variety of projects, including research and analysis of issues related to hospital and physician fee-for-service
reimbursement, alternative payment arrangements, price transparency, fee schedule development and
monitoring of key performance indicators.

Responsibilities will include but not limited to:

-Partners with various hospital, clinic, and revenue departments to identify areas of potential
revenue optimization and assess operational and financial implications; presents findings to
leadership using a data driven approach to make recommendations
-Develops financial models to project reimbursement rates, financial impacts, and potential risks
associated with contract terms
-Prepares and distributes analyses to understand the financial impact of new and existing payor
contracts and collaborate with leadership to support payor negotiations
-Provides comprehensive reporting to detail contract performance, benchmarking contracts to
ensure rates and terms are favorable and in line with industry standards and company
-Other duties as assigned by supervisor

For immediate consideration please APPLY NOW or email resume to dixie@provisional.com
expectations
-Creates and maintains dashboards and scorecards to track payor performance
-Works with application and business analysts to test and validate reports
-Leads specific department and inter-departmental projects such as underpayment recovery,
billing support, and payor specific denial reduction projects
-Maintains knowledge of commercial and government reimbursement models and regulations,
concepts, practices and procedures and their impact on payments
-Effectively uses a variety of tools to initiate projects, monitor progress, anticipate obstacles, and
provide concise updates in a timely manner
-Proactively identifies issues, addresses concerns, and makes recommendation

Job Requirements

Details:

Job Requirements:

-Bachelor"s degree in finance, accounting, data science, or healthcare related field required; Master"s
degree preferred
-Minimum 3 years" relevant experience required
-Previous experience in payor contract negotiation, coding, billing, and Accounts Receivable
basics required
-Advanced technical skills, including manipulation of large data sets, database management,
experience with querying language and financial modeling
-Strong communication skills with the ability to turn data into actionable information
-Strong quantitative skills with the ability to understand complex concepts
-Excellent organizational and project management skills; able to manage multiple concurrent
projects and deadlines
-Familiarity with current common coding practices including CPT4, ICD9CM, and DRGs as well as
current Medicare reimbursement methodologies and quality initiatives
-Knowledge of pricing, healthcare finance, managed care, provider incentives, and risk contracting
required