Healthcare Contract Specialist

4 weeks ago


Houston, Texas, United States All-N-1 Staffing Full time
About the Job

We are seeking a skilled Healthcare Contract Specialist to join our team at All-N-1 Staffing. As a key member of our team, you will be responsible for building, loading, testing, and maintaining hospital third-party payer contracts in the contract modeling system.

Key Responsibilities:

  • Accurately loads, tests, and maintains executed hospital contracts in the contract modeling system.
  • Performs prospective modeling of proposed contracts, rate structure/value scenarios, and other changes impacting reimbursement to support payer negotiations.
  • Analyzes and determines the financial impact of government and commercial fee schedule/reimbursement changes to develop proposed adjustments.
  • Loads and maintains hospital contract reimbursement and terms in an internal database for applicable user and vendor accessibility.
  • Generates standard and ad-hoc reporting allowing for critical decision-making specific to hospital reimbursement and associated impacts.

Requirements:

  • Bachelor's degree in Business Administration, Finance, or Accounting preferred.
  • Three years of experience in hospital contract modeling required, preferably in Payment Integrity Compass (PIC) or Epic.
  • Effective oral and written communication skills.
  • Ability to analyze, problem solve, and apply critical thinking in a fast-paced environment.

What We Offer:

  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.


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