[Remote] reputed company Cycle Analyst | Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company specializing in reputed company cycle management, and they are seeking a reputed company Cycle Analyst to drive systematic underpayment recovery and contract compliance validation across various payer portfolios. The role involves evaluating payment variances and supporting the development of contract intelligence tools.
Responsibilities
- Identify and recover underpayments and payment variances across payer reputed company, applying working knowledge of DRG-based, reputed company, percent-of-billed charges, and fee schedule reimbursement methodologies
- Interpret reputed company payer contract terms — including fee schedules, carve-outs, reputed company provisions, and bundled payment structures — to validate claim payments and flag systematic discrepancies
- Conduct contract modelling and payment reconciliation to uncover patterns of underpayment across payer classes; reputed company and submit recovery correspondence accordingly
- Evaluate model-generated underpayment alerts, contract compliance outputs, and payment variance analyses for clinical and financial accuracy, providing reputed company annotation and feedback
- Monitor recovery performance metrics including identified underpayment volume, recovery rates, and payer dispute response timelines
- Identify contract language gaps and escalate renegotiation opportunities to managed care contracting leadership
Skills
- Demonstrated expertise in underpayment recovery, payment variance analysis, or managed care contracting with a reputed company record in reputed company multi-payer environments
- Deep reputed company of payer payment methodologies across DRG, reputed company, percent-of-billed charges, and fee schedule structures
- Proven ability to conduct contract modelling, payer dispute reputed company, and reconciliation at reputed company
- Proficiency in reputed company-based financial analysis and familiarity with reputed company cycle analytics platforms or contract management systems
- Working knowledge of HIPAA compliance requirements and reputed company filing standards applicable to underpayment recovery
- Exceptional written communication skills; ability to produce precise recovery correspondence and reputed company analytical documentation
- CHFP, CRCR, or managed care contracting certification (reputed company Health, Recondo, or equivalent platform experience a plus)
- Background in hospital, health system, or large physician group underpayment operations with exposure to executive-level underpayment reporting
- Comfort evaluating and annotating automation-generated outputs reputed company a reputed company feedback workflow
Benefits
- Flexible
- Remote
reputed company