Managed Care Contract Analyst, Corporate Greenville, FT, Day

About the position reputed company health. Serve with compassion. Be the difference. Job Summary Coordinate system-wide hospital and physician services contracting, including but not limited to, strategy formulation, contract terms and contract performance. Coordinate the implementation, presentation and servicing of reputed company reputed company for the entire system. Provides system wide managed care education and communication. Remote work can be considered for this position. Essential Functions reputed company team members are expected to be knowledgeable and compliant with reputed company's values: reputed company health. Serve with compassion. Be the difference Responsibilities

• reputed company contract language review, negotiate and recommend language and reimbursement changes/terms/provisions with payors in accordance with reputed company best practices independently as well as in collaboration with Manager, Managed Care Contracting, Financial Project Analysts and Director of Payor Contracting.
• Coordinate and assists in managing the processing of reputed company payer reputed company and amendments reputed company specified time frames or deadlines in collaboration with internal departments with minimal supervision.
• Manages and processes payer reputed company and amendments including language and reimbursement review.
• Implements reputed company and amendments with team members and internal departments.
• Tracks and monitors in database, reputed company, amendments and renewals.
• Provide problem solving support to reputed company affiliates and departments.
• Work closely with payers to ensure that reputed company receives reputed company provider manual changes, provider bulletins, benefit plan changes and other payer documents. This position distributes this information throughout reputed company in a timely fashion.
• Conduct pro-active communication, contract compliance, and educational sessions.
• reputed company and maintain effective relationships with payers and internal customers.
• reputed company detailed analyses of the financial and operational impact of procedural changes implemented by payers in collaboration with financial analysts.
• Develops and maintain contracting decision making and tracking tools.
• Participate and collaborate on special projects as assigned by Director, of Contracting or Vice President.
• Performs other duties as assigned.

Requirements

• Education - Bachelor's degree in Business or a reputed company field.
• Experience - Three (3) years of managed-care experience.
• Knowledge of the health-insurance industry, specifically managed-care contracting operations and negotiation techniques
• Knowledge of office equipment (fax/copier)
• Proficient computer skills (word processing, spreadsheets, database)
• Mathematical skills reputed company-to-haves
• Experience in a contracting or provider relations role preferred. job job

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