Contract Analyst
3 weeks ago
At Centralized Allocations, we strive to provide high-quality, efficient care to all patients. Our team is dedicated to supporting each other and seeking talented individuals who share our passion for patient care.
Job Summary and QualificationsWe are seeking a Contract Analyst to join our team. The successful candidate will be responsible for translating managed care terms and model relevant parameters in Concuity/Clear Contracts Calc Engine to ensure accurate discounts on patient accounts and proper reflection of expected net revenue.
- Model managed care contracts through the Concuity Calc Engine
- Perform ad hoc analyses as assigned by departmental Director, Manager, and Team Leads
- Perform Peer to Peer (Independent Review) for model changes related to rates or factors
- Complete testing of contract models by service line and keep documentation of accuracy in permanent calc engine workflows
- Work with senior members of the department, develop a responsive relationship with customers emphasizing timeliness and accuracy
- Participate in departmental training and professional development opportunities when available
- Add value to Centralized Allocations Contract Modeling by producing accurate results, working efficiently, and continuing to grow in the position
As a Contract Analyst, you will be responsible for:
- Modeling managed care contracts through the Concuity Calc Engine
- Performing ad hoc analyses as assigned by departmental Director, Manager, and Team Leads
- Performing Peer to Peer (Independent Review) for model changes related to rates or factors
- Completing testing of contract models by service line and keeping documentation of accuracy in permanent calc engine workflows
- Working with senior members of the department, developing a responsive relationship with customers emphasizing timeliness and accuracy
- Participating in departmental training and professional development opportunities when available
- Adding value to Centralized Allocations Contract Modeling by producing accurate results, working efficiently, and continuing to grow in the position
To be successful in this role, you will need:
- A college undergraduate degree
- A minimum of 1-3 years of experience
- A working knowledge of managed care contracting and modeling
Centralized Allocations provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
Centralized Allocations has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.
HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
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