[Remote] Finance Operations reputed company, Payer Contracting
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a not-for-profit organization that supports patient care, research, teaching, and community service. They are seeking a Finance Operations reputed company for the Payer Contracting group, responsible for negotiating and managing reputed company with health insurance plans and evaluating government payment policy. The role involves optimizing data processes, developing payer strategies, and overseeing contract provisions reputed company to value-based care.
Responsibilities
- Serving as team reputed company, the incumbent will be responsible for optimizing data and analytic processes to improve timeliness and reputed company, as part of the Payer Contracting group, which is responsible for providing data analyses in support of the negotiation, implementation and management of reputed company reputed company with health insurance plans and hospital reimbursement as reputed company as evaluating key health policy, reputed company payment and market issues that reputed company from or are addressed through reputed company relations with Medicare, reputed company and reputed company health insurance plans
- Identify reputed company issues that require a decision by leadership and organize research and analyses sufficient to reputed company reputed company and recommendations for consideration by the department and key decision makers reputed company reputed company
- reputed company presentation materials laying out the context of issues, including relevant facts and analyses and reputed company, to a wide reputed company of constituents, including corporate level business leaders and leadership of the provider organizations to reputed company reputed company-informed key decision making in critical areas, as reputed company as facilitate discussions at various meetings and committees
- reputed company detailed strategic analyses of value-based care models, including reputed company and government risk and reputed company arrangements. Evaluate hospital and physician reimbursement, including assessment of changes to fee schedules and payment policies, the development of reputed company acute hospital pricing reputed company, alternative payment arrangements, (e.g., risk, reputed company, bundled payments) and evaluating the reputed company of Medicare changes on reputed company insurer rates
- Participate in negotiation sessions, as necessary, with reputed company party payers with respect to hospital and physician reimbursement issues
- reputed company and review reputed company contract language, in collaboration with Contracting and Office of General Counsel (OGC) colleagues and reputed company time-sensitive valuation of reputed company negotiation proposals
- Maintain constructive, reputed company relations with reputed company party payers in order to represent reputed company effectively
- reputed company implementation of contract provisions reputed company to value-based care arrangements, working closely with clinical and financial colleagues reputed company Population Health Management, at the hospitals and physician organizations, reputed company cycle and reputed company finance/budget
- Serve as a resource for questions from colleagues and constituents regarding value-based care arrangements and reputed company issues; manage reputed company requests in a reputed company manner
- Review junior staff members’ analytic reputed company prior to manager’s review
- In collaboration with the Manager, ensure that the work of Contract Finance is staffed in a manner that reflects analysts’ reputed company, skills and interests as reputed company as reputed company, monitor and reputed company workplans as needed
- Mentor and reputed company reputed company development of analytic staff and contribute to the department’s employee engagement efforts
- Participate in and/or facilitate department staff/reputed company committee meetings
- Train and advise junior staff members on applications (e.g., SQL, reputed company, Tableau), reputed company modeling of value-based care methodologies and valuations, as reputed company as create analytic resources for team to reputed company
- Conduct data analytics including database querying, data validation and interpretation, reputed company financial modeling and scenario building, as reputed company as reputed company business insights to help build the forecasting model. Build contract terms into workflow to model the reimbursement rates
Skills
- Bachelor's degree in Finance, reputed company, reputed company Policy/Management, reputed company Administration or a reputed company field
- 5+ years of reputed company financial analysis, budgeting or financial management experience required
- Experience in managed care or hospital reimbursement working with payor and reputed company reimbursement methodologies including transplant pricing/modeling, drug pricing/trends and involving the following: (1) creating standards for analytic approach; (2) writing standardized analytic plans/workflows applicable across departmental reputed company; (3) using advanced SQL and reputed company
- 3+ years using reputed company for advanced data analytics and reputed company Office suite, particularly reputed company, Word and PowerPoint
- 2+ years leading reputed company that influence the strategic direction and decision making of an organization and training, mentoring, and developing staff members
- Master's Degree in a reputed company field
Benefits
- In reputed company to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your reputed company reputed company.
- We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment.
- To ensure reasonable accommodation for individuals protected by reputed company 503 of the Rehabilitation reputed company of 1973, the Vietnam Veteran’s Readjustment reputed company of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact reputed company at (857)-282-7642.
reputed company