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Saint Francis Health System · 2 months ago

Contract and Data Analyst (Managed Care)

Yale Campus - Hospital

Full-time

Onsite

Mid Level

3+ years exp

Saint Francis Health System is seeking a Contract and Data Analyst to manage and analyze contracts within the healthcare sector. The role involves monitoring contract compliance, performing negotiations, and developing financial models to support negotiation strategies for the health system.

Hospital & Health Care

Responsibilities

Analyzes contracts and communicates operational impact of contracts to appropriate health system contacts

Develop models, analyzes, and monitors financial performance of existing and proposed contracts

Monitors contract performance and compliance to ensure contracts are performing at expected levels by auditing financials and negotiating with payors for money due if appropriate

Reviews and negotiates language in the contracting negotiation processes

Develops, produces, and maintains data sets required for contract analysis

Develops and maintains departmental processes to manage contracts

Resolves contractual disputes with payors by collaborating with various health system entities and all related parties

Responsible for the analysis, development, and testing of contract projection models within Epic essential to negotiation outcomes for the system for both physician and hospital contracts/reimbursement

Builds programing and performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system

Resolves programming issues related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement

Ensures through Epic testing that the build is developed and performing the collaborates with the Epic team to put into production and to enhance contract modeling within Epic

Performs other related duties as assigned to fulfill department responsibilities

Qualification

Epic certificationContract negotiationsFinancial modelingMicrosoft AccessData analysisMicrosoft ExcelInterpersonal skillsWritten communicationOral communicationDetail oriented

Required

Bachelor's Degree in Business or related field required

Obtain and maintain Epic certification in assigned application module(s)

3 - 4 years related experience

Experience with health plan insurance contracting and reimbursement for providers and facilities

Ability to complete Epic certification and maintain certification in assigned application module(s)

Ability to work independently and within a team across multiple disciplines

Ability to establish and meet work schedules within limited time frames and under tight deadlines

Analytical ability to solve both business and technical problems

Working knowledge of Microsoft Excel, Word, Power BI and Access

Excellent interpersonal, written and oral communication skills

Ability to be detail oriented as required in the analysis and examination of complex information

Preferred

Experience with Microsoft Access, data warehouse applications, contract negotiations, contract financial modeling, contract language interpretation and EPIC preferred