Senior Analyst (Remote) - Oceanport, NJ
Company: RWJBarnabas Health Corporate Services
Location: Oceanport
Posted on: October 9, 2024
|
|
Job Description:
Job Overview: The Senior Analyst assists with aspects of the
fee-for-service environment related to contract negotiations, rate
modeling and contract performance review. Additionally, the
position will collaborate with all departments of the revenue chain
to ensure revenue optimization for the health system.
Qualifications: Required: Bachelor s degree in finance or
accounting required. Experience working with complex and
sophisticated managed care contracts. Strong analytical skills with
ability to manipulate large data sets into meaningful information.
Advanced knowledge of Microsoft Excel, including formulas, lookups
and pivot tables. Must possess strong interpersonal and email
communication skills. Preferred: 5 years of experience relating to
healthcare reimbursement, strongly preferred. Experience solving
difficult problems relating to reimbursement, contract modeling and
revenue cycle functions, strongly preferred. Scheduling
Requirements: This role is fully remote with the option to work
in-person if desired with a designated office space. Essential
Functions Analytical lead on modeling contract rates throughout the
managed care contract negotiation process. Assists in varying
aspects of managed care payor negotiations including proposals,
rate validation, rebalancing, language review and communication
with insurance companies. Evaluate payor performance relating to
profitability, benchmarking, denials, contract compliance and
retrospective reviews. Collaborates with the system business office
to provide support relating to contract interpretation, denial
reviews, payment variances, and cost-based audit reviews. Supports
the loading of payor contracts into the contract management system
and validates accuracy at time of implementation. Collaborates with
hospitals on creation and/or review of revenue proformas relating
to new service offerings. Leads managed care payor projects in
determining financial impact and progress tracking. Works with
outside vendors on projects relating to revenue recovery and
strategic pricing assessments. Research changes relating to managed
care payor policies and determine financial impact to the health
system. Models financial impact of new technologies, and provides
timely notification to payers in accordance with contractual terms.
Serves as a managed care resource across the organization assisting
with reimbursement inquires, contractual rate grids, facility
credentialing and various ad hoc requests. Special projects as
assigned. Other Duties: Please note this job description is not
designed to cover or contain a comprehensive listing of activities,
duties or responsibilities that are required of the employee for
this job. Duties, responsibilities and activities may change at any
time with or without notice. At RWJBarnabas Health, our
market-competitive Total Rewards package provides comprehensive
benefits and resources to support our employees physical,
emotional, social, and financial health. Paid Time Off (PTO)
Medical and Prescription Drug Insurance Dental and Vision Insurance
Retirement Plans Short & Long Term Disability Life & Accidental
Death Insurance Tuition Reimbursement Health Care/Dependent Care
Flexible Spending Accounts Wellness Programs Voluntary Benefits
(e.g., Pet Insurance) Discounts Through our Partners such as NJ
Devils, NJ PAC, Verizon, and more Choosing RWJBarnabas Health
RWJBarnabas Health is the premier health care destination providing
patient-centered, high-quality academic medicine in a compassionate
and equitable manner, while delivering a best-in-class work
experience to every member of the team. We honor and appreciate the
privilege of creating and sustaining healthier communities, one
person and one community at a time. As the leading academic health
system in New Jersey, we advance innovative strategies in
high-quality patient care, education, and research to address both
the clinical and social determinants of health. RWJBarnabas Health
aims to truly make a unique impact in local communities throughout
New Jersey. From vastly improving the health of local residents to
creating educational and career opportunities, this combination
greatly benefits the state. We understand the growing and evolving
needs of residents in New Jersey whether that be enhancing the
coordination for treating complex health conditions or improving
community health through local programs and education. Equal
Opportunity Employer
Keywords: RWJBarnabas Health Corporate Services, White Plains , Senior Analyst (Remote) - Oceanport, NJ, Accounting, Auditing , Oceanport, New York
Click
here to apply!
|