Contract Analyst

  • Requisition ID: 178429
  • Department: 100604 Contracting
  • Schedule: Full Time - Eligible for Benefits
  • Shift: Day
  • Category: Professionals

Position Purpose

The Contract Analyst is responsible for the comprehensive creation, maintenance, and testing, of Hospital and Professional payer contracts. The Contract Analyst plays a crucial role as a liaison between Contracting and Revenue Cycle in the collaboration on payment data to verify that contract builds, models, and negotiated agreements are optimized. Additionally, they provide strategic support and recommendations to both teams in identifying opportunities for revenue improvement and resolving identified issues.

 

 

 

Nature and Scope

Development and Maintenance of Contracts: Create new and maintain existing contract fee schedules within EPIC. Collaborate with external parties for testing to ensure accuracy of contract execution. Manage ongoing updates to fee schedules for both managed care and government payers.

 

Ensures Reimbursement Calculations Accuracy: Responsible for ensuring that expected reimbursement calculations are current and accurate. Collaborates with Revenue Cycle to obtain billing modifier requirements and testing to ensure system calculates accurate expected reimbursement.

 

Support Senior Contract Analyst and Payer Contracting Team: Assist in reviewing contract set up requirements for proper contract modeling and negotiations.

 

Establishes and maintains favorable relationships with external customers and ensures smooth contract renewal implementations.

 

This position does not provide patient care.

 

 

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

 

 

 

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing, and speaking English. Bachelor’s degree or equivalent work experience is required.

Experience:

A combined minimum of three (3) years’ experience in healthcare or insurance billing, administration, contracting, follow up, collections and/or auditing is required in lieu of degree.

License(s):

None

Certification(s):

Must have EPIC Resolute Hospital Billing Expected Reimbursement Contracts Administration certification or commit to attainment of such certification within 6 months of hire.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

 

 

Benefits

Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.

With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.

  • Icon- Edu Assistance@1x

    Education Assistance

  • Icon - PTO@1x

    Paid Time Off

  • Icon - 401@1x

    401(k) Company Match

  • Icon - Flexible Env@1x

    Flexibile Work Environment