TALENT Software Services · 14 hours ago
Contract and Data Analyst (Managed Care)
Tulsa, OK
Contract
Onsite
Mid Level
3+ years expTALENT Software Services is seeking a Contract and Data Analyst to manage contract analysis and negotiations within the healthcare sector. The role involves monitoring contract compliance, developing projection models, and resolving contractual disputes, while collaborating with various stakeholders to ensure effective contract management.
Artificial Intelligence (AI)ConsultingDevOpsHealth CareIT ManagementProject ManagementRecruitingStaffing Agency
Responsibilities
Analyze contracts and communicate their operational impact to appropriate health system contacts
Develop models, conduct analysis, and monitor the financial performance of existing and proposed contracts
Monitor contract performance and compliance to ensure they meet expected levels by auditing financials and negotiating with payors for any money due
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 all 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 performing correctly in collaboration with the Epic team to enhance contract modeling within Epic
Perform other related duties as assigned to fulfill department responsibilities
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
Attention to detail 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
TALENT Software Services
Talent Software Services is an IT staffing services company of healthcare and government sectors.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Prashanth Upadrashta
Vice President -Global Operations & Delivery
Dave Iacarella
Owner
Recent News
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