IMCS Group ยท 1 month ago
Contract and Data Analyst (Managed Care)
Tulsa, OK
Full-time, Contract
Onsite
Mid Level
3+ years expIMCS Group is a confidential company seeking a Contract and Data Analyst. The role involves analyzing contracts, performing negotiations, and ensuring compliance while developing models for contract projections essential to negotiation outcomes.
Staffing & Recruiting
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
Working Relationships:
Coordinates activities of others (does not supervise)
Works with internal customers via telephone or face-to-face interaction
Works with external customers via telephone or face to face interaction
Works with other healthcare professionals and staff
Works frequently with individuals at Director level or above
Qualification
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
Bachelor's degree in business or related field
Obtain and maintain Epic certification in assigned application modules(s)
Preferred
Experience with Microsoft Access, data warehouse applications, contract negotiations, contract financial modeling, contract language interpretation and EPIC
Company
IMCS Group
IMCS Group is an IT, Healthcare, and Professional Staffing Company that helps Enterprises optimize the business value of their Staffing investments and enables them to achieve world-class business performance.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Satish G Kumar
Founder and CEO
Kathleen Thompson
Diretor Client Partnership
Company data provided by crunchbase