Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only) Working from Home Louisville, Kentucky Louisville Kentucky USA Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only)

Remote Full-time
Responsibilities Under direct guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract intent. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor contracts and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will 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 to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language intent. Communicate and work well with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and track variance statistics. Provide price transparency to patients, track metrics for price estimations. • *This position has the opportunity to be a hybrid position. You will be asked to complete training at a Norton Healthcare facility and must be able to come in for business purposes. Employees in this role must reside in Kentucky or Indiana** Qualifications Required: • With Required Degree No experience required • Without Required Degree Two years healthcare or analytics • Associate Degree Desired: • Bachelor Degree Under direct guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract intent. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor contracts and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will 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 to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language intent. Communicate and work well with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and track variance statistics. Provide price transparency to patients, track metrics for price estimations. • *This position has the opportunity to be a hybrid position. You will be asked to complete training at a Norton Healthcare facility and must be able to come in for business purposes. Employees in this role must reside in Kentucky or Indiana** Required: • With Required Degree No experience required • Without Required Degree Two years healthcare or analytics • Associate Degree Desired: • Bachelor Degree Apply tot his job
Apply Now

Similar Opportunities

Sr Managed Care Contract and Revenue Cycle Analyst / Revenue Cycle

Remote Full-time

Payor Contracting Specialist Phoenix AZ in Phoenix, AZ – Panoramic Health – vsmartpros

Remote Full-time

Payroll Manager - Remote Role

Remote Full-time

Payroll Manager, Remote Job

Remote Full-time

Payroll Specialist (Temporary for 3 months) - Remote - Nationwide

Remote Full-time

Hinge Health – Payroll Manager (Remote) – Denver, CO

Remote Full-time

Client Payroll Specialist - Remote

Remote Full-time

PAYROLL SPECIALIST, PART-TIME (REMOTE)

Remote Full-time

Pearson – Director, Public Relations (Remote) – Nashville, TN

Remote Full-time

Pearson – HR Business Partner II (Remote) – Columbia, MD

Remote Full-time

[Remote] FT Telehealth Registered Dietitian | New York License

Remote Full-time

Frontend Engineer (Web App, React, Real-Time UX, Media Flows)

Remote Full-time

**Experienced Data Entry Specialist – Remote Work Opportunity with blithequark**

Remote Full-time

Experienced Live Chat Support Agent – Remote Customer Service Role for Ambitious Individuals with Excellent Writing and Communication Skills

Remote Full-time

Experienced Customer Service Representative – Delivering Exceptional Support and Shaping Customer Experience in a Dynamic Remote Environment at blithequark

Remote Full-time

Analyst - Payments Consulting- US Debit

Remote Full-time

**Experienced Commercial Customer Service Support Specialist – Valencia, CA Office**

Remote Full-time

Property Claims Examiner II (Remote)

Remote Full-time

Experienced Remote Entry-Level Data Entry Specialist – Career Development and Growth Opportunities in Data Management

Remote Full-time

Temporary Curriculum Writer - Social Studies and 21st Century

Remote Full-time
← Back to Home