Contract and Data Analyst (Managed Care) jobs in United States
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TALENT Software Services ยท 3 weeks ago

Contract and Data Analyst (Managed Care)

positionTulsa, OK
timeContract
remoteOnsite
seniorityMid Level
money$68K/yr - $98K/yr
date3+ years exp

TALENT Software Services is seeking a Contract and Data Analyst to analyze contracts and perform negotiations within the managed care sector. The role involves monitoring contract compliance, developing projection models, and resolving contractual disputes, all while collaborating with various stakeholders in the health system.

Artificial Intelligence (AI)ConsultingDevOpsHealth CareIT ManagementProject ManagementRecruitingStaffing Agency
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Growth Opportunities

Responsibilities

Analyze contracts and communicate the operational impact to appropriate health system contacts
Develop models, conduct analysis, and monitor financial performance of existing and proposed contracts
Monitor contract performance and compliance by auditing financials and negotiating with payors for money due, if appropriate
Review and negotiate language in the contracting negotiation processes
Develop, produce, and maintain data sets required for contract analysis
Develop and maintain departmental processes to manage contracts
Resolve contractual disputes with payors by collaborating with various health system entities and related parties
Analyze, develop, and test contract projection models within Epic essential to negotiation outcomes for both physician and hospital contracts/reimbursement
Build programming and perform ongoing analysis to maintain the integrity of financial expectations of managed care contracts within the Epic system
Resolve programming issues related to rate and revenue codes operations to maximize revenue potential for both physician and hospital contracts/reimbursement
Ensure through Epic testing that the build is developed and collaborates with the Epic team to enhance contract modeling within Epic
Perform other related duties as assigned to fulfill department responsibilities

Qualification

Epic certificationHealth plan contractingContract negotiationFinancial modelingMicrosoft ExcelAnalytical abilityInterpersonal skillsAttention to detailTeamworkCommunication skills

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 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
Attention to detail as required in the analysis and examination of complex information
Bachelor's degree in business or related field
Obtain and maintain Epic certification in assigned application module(s)

Preferred

Experience with Microsoft Access
Data warehouse applications
Contract negotiations
Contract financial modeling
Contract language interpretation
EPIC

Company

TALENT Software Services

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Talent Software Services is an IT staffing services company of healthcare and government sectors.
dateFounded in 1987
location
Saint Paul, Minnesota, USA
people-size51-200 employees
web-link
https://talentstaffingservices.com/

Funding

Current Stage
Growth Stage

Leadership Team

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Prashanth Upadrashta
Vice President -Global Operations & Delivery
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Dave Iacarella
Owner
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Recent News

LinkedIn
TALENT Software Services on LinkedIn: #recruitmentsolutions #hasslefreehiring #businessempowerment
2024-04-07
Company data provided by crunchbase