Job Title

Job Brief1 OpeningPay Range: PAYER & MANAGED CARE ANALYST - $37.92 to $60.68Job SummaryReporting directly to the Payer Contracts Manager, the Payer Contracts Analyst is responsible for payer contracting analytics. Reviews and monitors contract/payer performance. Responsible for maintaining accurate payer rate information in hospital's systems. Responsible for overseeing ad hoc analysis in support of various HMNH initiatives.Licensure and Certification:N/AEducation:Minimum Bachelor's Degree in economics, accounting, finance, healthcare policy, business administration.Preferred Master's Degree in economics, accounting, finance, healthcare policy, business administration.Experience:Minimum of three (3) years of experience in financial healthcare reimbursement analysis is required, including an understanding of national standards for fee-for-service and managed care provider reimbursement methodologies.Knowledge and Skills:Excelo Advanced knowledge of complex functions.o Advanced ability reading, creating and interpreting computer and mathematical rules and formulas.o Advanced ability to create complex, dynamic models in which multiple scenarios can be created and compared by manipulation of key variables.Hospital EMR and Billing Systemso Minimum of three (3) years of experience with hospital EHR, Billing and other financial systems.o Prefer 5 years of experience with hospital EHR, Billing and other financial systems with experience building and maintaining system rules.o Proficiency with word processing and presentation programs such as MS Word and PowerPoint, with a preference for knowledge and proficiency with MS Access.Working knowledge of healthcare financial statements and accounting principles.Physical Demands - Clerical/Administrative Non-Patient Care:Frequent sitting and standing/walking with frequent position change.Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level.Occasional/intermittent reaching at or above shoulder level.Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing.Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds.Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties.Key for Physical DemandsContinuous66 to 100% of the timeFrequent33 to 65% of the timeOccasional0 to 32% of the time