(Relo
Available)
(Healthcare Decision Support)
Our client, a nationally recognized healthcare
organization is looking for a truly influential Analyst. This individual
will be the right hand person to both Finance and Managed Care.
We are seeking someone who wants to make a name for themselves
and is focused on professional progression. If you feel you are
not being challenged enough and meet the qualifications below,
This could be the mission critical role you have been looking for.
Responsibilities:
• Maintains summaries of various fee schedules
and reimbursement rates from different managed care payers.
• Updates and maintains the DSS Contract Modeling system;
ensures that all payers are loaded and maintained in an accurate
and current form.
• Analyzes outcomes of proposed managed care contracts,
provide interpretation and additional proposals. Also Prepare quarterly
managed care reports
• Analyzes operation of systems, prepares recommendations
and documentations to create and update fiscal service and other
related policies and procedures with respect to the operating systems.
• Assumes responsibility for cost data preparation,
analysis, systems analysis and other fiscally related duties as
needed.
• Assists in negotiations of managed care contracts
between Health System and managed care organizations.
• Assists in managed care budget planning and goal
setting for gross and net revenues.
• Prepares ROI’s, NPV and Product Line Analysis for
Hospital and related entities.
• Assists in the annual chargemaster update process
and subsequent payer impact analyses.
Requirements:
• Bachelor's degree in Finance, Accounting, IS
or related field.
• CPA, MBA, or M.S. in Health Systems Management preferred.
• 5+ years experience, with at least 3 being in heath
care.
• Strong experience with Access, Excel, and contract
modeling in a DSS system.
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