North American Dental Group (NADG) · 11 hours ago

Contract Analyst

United States

Full-time, Contract

Remote

Entry, Mid Level

2+ years exp

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DentalHealth Care

Hiring Manager

Karleigh McCord

Insider Connection @North American Dental Group (NADG)

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Responsibilities

Analyze proposed rates by modeling and comparing reimbursement to determine contract value and potential revenue impact.

Work closely with Accounting and BI teams to procure data from available sources and develop reports to be used by the Payer Relations department

Perform timely entry of pertinent data into a contract management system or Matrix

Maintain accurate Participation Matrix by state and clinic

Maintain accurate TIN listing by state, practice, specialty

Maintain Leased, Tiered and Stacked Network Matrix

Proactively research payer policy changes that impact PDA/NADG

Continuously monitor contract performance and value, identifying new targets for renegotiation or biennial contract adjustment (COLA)

Assist with the entry of new rates into the Fee Schedule tables and perform regular maintenance of those tables

Assist with yearly UCR fee increase projects as assigned

Operate in compliance with all local, state, and Federal laws as well as NADG policy and compliance standards

Job description is not intended to include an inclusive list of responsibilities. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

Qualification

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Contract negotiationFinancial analysisData analysisMicrosoft ExcelBusiness Intelligence reportingHealthcare experienceDental insurance experienceProcedural coding knowledge

Required

A Bachelor’s degree in a healthcare, business, finance, or a related field.

2-3 years-experience in provider relations, payer relations or financial analysis within a healthcare organization- May consider qualified candidates in lieu of a bachelor’s with 7-9 years of directly related experience or relevant health care experience

Advanced Microsoft Office skills (Excel is a must)

Understanding of key performance metrics and performance reporting

High attention to detail with ability to analyze and summarize data

Operate in compliance with all local, state, and Federal laws as well as NADG policy and compliance standards