Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only) Working from Home Louisville, Kentucky Louisville Kentucky USA Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only)

Remote Full-time
Responsibilities Under direct guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract intent. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor contracts and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will assist in assessing and analyzing current payor contracts for areas of improvement and contract maximization during contract negotiation. Review and present findings, solutions, and recommendations to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language intent. Communicate and work well with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and track variance statistics. Provide price transparency to patients, track metrics for price estimations. • *This position has the opportunity to be a hybrid position. You will be asked to complete training at a Norton Healthcare facility and must be able to come in for business purposes. Employees in this role must reside in Kentucky or Indiana** Qualifications Required: • With Required Degree No experience required • Without Required Degree Two years healthcare or analytics • Associate Degree Desired: • Bachelor Degree Under direct guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract intent. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor contracts and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will assist in assessing and analyzing current payor contracts for areas of improvement and contract maximization during contract negotiation. Review and present findings, solutions, and recommendations to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language intent. Communicate and work well with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and track variance statistics. Provide price transparency to patients, track metrics for price estimations. • *This position has the opportunity to be a hybrid position. You will be asked to complete training at a Norton Healthcare facility and must be able to come in for business purposes. Employees in this role must reside in Kentucky or Indiana** Required: • With Required Degree No experience required • Without Required Degree Two years healthcare or analytics • Associate Degree Desired: • Bachelor Degree Apply tot his job Apply tot his job
Apply Now

Similar Opportunities

Senior Payor Contracting Analyst (Remote)

Remote

PFS Contract Variance Analyst, Denials Analysis

Remote

Payor Contract Reimbursement Analyst – Payor Contracting – Day

Remote

Payroll Specialist - REMOTE (PT & FT) – Day & Night Shifts

Remote

Apply Now: Provider Medicaid Contracts Manager (Remote Option)

Remote

Senior Payroll Specialist (Remote Opportunity) - 744000016133718-5844

Remote

Payroll Specialist - Senior (Remote)

Remote

Pearson Part Time Virtual School Psychologist (SC)

Remote

Assessment Specialist - English Language Arts - Remote K-12 Education Content Development

Remote

Entry-Level Penetration Tester (Ethical Hacking)

Remote

[Remote] Sales, Revenue, & Marketing Operations Manager

Remote

Experienced Remote Customer Service Representative - Delivering Exceptional Support to Amazon Customers at $16-$35/hour with Comprehensive Training and Career Growth Opportunities

Remote

Experienced Customer Service Representative – Walgreens Data Entry Remote Jobs (Wfh) $27/Hour

Remote

**Experienced Medicaid Customer Service Representative (Remote) – Nevada Residents Only**

Remote

Experienced Part-Time Remote Data Entry Clerk - 100% Flexible Work from Home Opportunity with blithequark

Remote

AWS Architect US Citizen Only

Remote

Experienced Remote Bilingual Spanish Customer Service Representative - Insurance Industry Expert

Remote

**Job Title:** Experienced Data Entry Clerk - Typist / Full-time Remote Position at blithequark

Remote

Part-time Teaching Assistant for ENGR 297: Empowering Engineering Students at Penn State University

Remote

Experienced Entry Level Data Entry Clerk – Remote Work Opportunity for Detail-Oriented Individuals with Strong Organizational Skills

Remote
← Back to Home