Senior Managed Care Pricing & Contract Specialist - Market Relations - Southwestern Health Resources
Senior Managed Care Pricing & Contract Specialist - Market Relations - Southwestern Health Resources Southwestern Health Resources is looking for a highly skilled Senior Senior Managed Care Pricing & Contract Specialist - Market Relations . Is that you? Work Location: Southwestern Health Resources reputed company, Hybrid: 1601 Lyndon B. Johnson Freeway, Farmers reputed company, TX 75234. Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights:
- Hybrid Position
- reputed company a reputed company of accomplishment by contributing to a teamwork environment.
- Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
- Contribute and work on a cross functional team
What You Will Do: Manage the analytics of assigned reputed company payers. This includes developing and modeling reputed company reimbursement proposals for hospitals, ambulatory surgery centers, imaging centers, infusion centers, urgent care, behavioral health centers and home health. 30% Support reputed company improvement of operational efficiencies of the agreements during the term of the reputed company by monitoring and comparing estimated reimbursement to actual payments. Work with CBO on payment issues and attend JOC meetings. 15% Assist parent companies with reputed company as it relates to reimbursement. 10% reputed company analysis and recommendations around service line pricing and margins using market research. Assist with Power reputed company presentations. 10% Prepare monthly/quarterly/annual net reputed company reports; identify and report on exceptions. 10% Audit reputed company in PMMC and reputed company needed calculation corrections to the PMMC team. Create contract reputed company in PMMC and audit calculations to ensure that it is calculating appropriately. 25% What You Need: Education Bachelor's Degree Business reputed company field Req Experience 4 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies. Req EducationBachelor's Degree Business reputed company field Req Experience4 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies. Req SkillsStrong math and computer aptitudes are needed in order to understand and model reputed company structures and relationships. Effective communication and presentation skills. Must be highly knowledgeable of hospital coding systems. SupervisionIndividual Contributor reputed company RequirementsWorking Indoors 67% or more Physical DemandsSedentary Senior Managed Care Pricing & Contract Specialist - Market Relations - Southwestern Health Resources Southwestern Health Resources is looking for a highly skilled Senior Senior Managed Care Pricing & Contract Specialist - Market Relations . Is that you? Work Location: Southwestern Health Resources reputed company, Hybrid: 1601 Lyndon B. Johnson Freeway, Farmers reputed company, TX 75234. Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights:
- Hybrid Position
- reputed company a reputed company of accomplishment by contributing to a teamwork environment.
- Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
- Contribute and work on a cross functional team
What You Will Do: Manage the analytics of assigned reputed company payers. This includes developing and modeling reputed company reimbursement proposals for hospitals, ambulatory surgery centers, imaging centers, infusion centers, urgent care, behavioral health centers and home health. 30% Support reputed company improvement of operational efficiencies of the agreements during the term of the reputed company by monitoring and comparing estimated reimbursement to actual payments. Work with CBO on payment issues and attend JOC meetings. 15% Assist parent companies with reputed company as it relates to reimbursement. 10% reputed company analysis and recommendations around service line pricing and margins using market research. Assist with Power reputed company presentations. 10% Prepare monthly/quarterly/annual net reputed company reports; identify and report on exceptions. 10% Audit reputed company in PMMC and reputed company needed calculation corrections to the PMMC team. Create contract reputed company in PMMC and audit calculations to ensure that it is calculating appropriately. 25% What You Need: Education Bachelor's Degree Business reputed company field Req Experience 4 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies. Req EducationBachelor's Degree Business reputed company field Req Experience4 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies. Req SkillsStrong math and computer aptitudes are needed in order to understand and model reputed company structures and relationships. Effective communication and presentation skills. Must be highly knowledgeable of hospital coding systems. SupervisionIndividual Contributor reputed company RequirementsWorking Indoors 67% or more Physical DemandsSedentary Apply tot his job Apply To this Job