Apply on Employer Site

Seven Resourcing · 4 weeks ago

Contract Data Analyst: Managed Care

Tulsa, OK

Full-time, Contract

Onsite

Mid Level

$68K/yr - $98K/yr

3+ years exp

Seven Resourcing is seeking a detail-oriented Contract Data Analyst to support contract analysis and reimbursement modeling related to managed care agreements. The role involves analyzing payer contracts, validating reimbursement terms, and ensuring compliance with contractual and regulatory requirements.

EmploymentRecruitingStaffing Agency

Responsibilities

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

Develop models, analysis, and monitor 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 ongoing 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

Ensure through Epic testing that the build is developed and performing the collaboration 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

Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor

Qualification

Epic CertificationData analysisFinancial modelingContract negotiationContract complianceMicrosoft ExcelPower BIInterpersonal skillsWritten communicationOral communicationTime managementDetail oriented

Required

Three (3) - four (4) years of 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 modules(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

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

Data Analyst (Managed Care): 3 years (Required)

Ability to Commute: Tulsa, OK 74133 (Required)

Work Location: In person

Preferred

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