HCA Healthcare · 19 hours ago
Business Analyst II
Nashville, TN
Full-time
Onsite
Mid Level
3+ years expHCA Healthcare is an organization that invests in its team members and is seeking a Business Analyst II to join their team. In this role, you will coordinate and assist in various payer negotiations and compliance activities while supporting the Managed Care strategies and business.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Assist the Director of Payer Contracting and Alignment in the development and implementation of a market-specific physician/payer contracting strategic plan
Provide physician/payer contracting support and expertise by attending scheduled meetings with operations leadership with the Division/Market/Practice Management and Payers within the respective market area
Under the guidance of Director of Payer Contracting and Alignment, coordinate and administer managed care contract negotiation process for designated Division/Market /Practice Management or as assigned
Maintain permanent record of all payer contracts and fee schedules, Monthly Operating Report, status updates and support related service center payer contract compliance efforts
Prepare as necessary and audit for accuracy fee schedules for internal and external parties
Prepare and distribute regular reports including, but not limited to: Division/Market physician rosters, payer rosters reflecting status of new and outstanding physicians, Division/Market payer matrix, summary of negotiating activities for a period, and other reports as requested by Director or VP of Payer Contracting and Alignment
Prepare Action Plans for use by Provider Enrollment to credential and enroll physicians with payer plans and provide support as needed in the enrollment process to ensure timely enrollment of physicians
Provide payer rate/contract support and analysis in practice pre-acquisition due diligence process
Work with payers to resolve issues related to claims or enrollment, as escalated by Provider Enrollment or Practice Management/Division Operations
Educate and mentor peers in job duties and assist AVP with certain onboarding activities including but not limited to systems training
Perform special projects as assigned by management
Administer company’s guidelines for payer contracting and compliance
Maintain knowledge of state and federal legislative and regulatory laws and rules regarding managed care
Qualification
Required
Bachelor's Degree is Required
3+ years of experience in relative role is required
1+ year(s) of experience in managed care, preferably with prior experience in contract analysis and negotiations. Business office experience preferred
Financial analysis and advanced knowledge of Excel
Negotiation skills
Knowledge of Managed Care Environment
Familiarity with Physician/Payer contract language
Good communication and organization skills
Business office operations
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
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