Managed Care Contract Analyst-Associate, Managed Care, Days

Norton Healthcare Louisville, Kentucky, United States Medical

About this position


Location: Louisville, Kentucky
Job Category: Finance
Job ID: 152674
Facility Group: Norton System Services

Job Description

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.

Qualifications

Required:
  • With Required Degree No experience required
  • Without Required Degree Two years healthcare or analytics
  • Associate Degree

Desired:
  • Bachelor Degree


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Screening requirements:
  • Background check
  • License & education verification
  • Employment reference verification
  • Drug Screen

Norton Healthcare offers a competitive benefit package, including:
  • Paid vacation, sick days and holidays
  • Paid parental leave
  • 403b/401k retirement plan
  • View more: Benefits Guide
  • Medical, Dental, and Vision Insurance

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Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's second largest employer, with more than 20,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Norton Healthcare strives to make the Norton Healthcare Careers site accessible to all job seekers. If you're a candidate with a disability, we will make reasonable efforts to accommodate your needs during the application process.

If you have a disability and need to request a reasonable accommodation, email recruitment@nortonhealthcare.org

Equal Employment Opportunity is the law.