Hartford, Connecticut, USA
19 hours ago
Sr Payer Analyst / Managed Care Contracting
Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryReporting directly to the Manager of Payer Contract Analytics the Sr Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary Reviews and monitors contractpayer performance including payer parity Compares expected reimbursement data to cost performance by service line Responsible for maintaining payment related tools such as payer rate grids Responsible for maintaining accurate expected reimbursement build in the EPIC system Responsible for overseeing ad hoc analysis in support of various HHC and ICP contractingPosition ResponsibilitiesKey Areas of Responsibility Develop analysis in support of payer contracting efforts including review of cost performance Key areas of focus are hospital and ancillary analysis Maintain accurate expected reimbursement build in the EPIC system Maintain payment related tools such as payer rate grids Maintain a process for final modeling information review Work collaboratively with revenue cycle medical recordscoding and compliance to identify and correct issues Develop ad hoc analysis in support of HHC andor ICP contracting initiativesWorking RelationshipsThis Job Reports To Job Title Manager of Payer Contract AnalyticsInternal Will engage with PFS Revenue Cycle Decision Support Other ReportingAnalytic Areas as appropriateExternal Will engage with payers directlyWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryReporting directly to the Manager of Payer Contract Analytics the Sr Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary Reviews and monitors contractpayer performance including payer parity Compares expected reimbursement data to cost performance by service line Responsible for maintaining payment related tools such as payer rate grids Responsible for maintaining accurate expected reimbursement build in the EPIC system Responsible for overseeing ad hoc analysis in support of various HHC and ICP contractingPosition ResponsibilitiesKey Areas of Responsibility Develop analysis in support of payer contracting efforts including review of cost performance Key areas of focus are hospital and ancillary analysis Maintain accurate expected reimbursement build in the EPIC system Maintain payment related tools such as payer rate grids Maintain a process for final modeling information review Work collaboratively with revenue cycle medical recordscoding and compliance to identify and correct issues Develop ad hoc analysis in support of HHC andor ICP contracting initiativesWorking RelationshipsThis Job Reports To Job Title Manager of Payer Contract AnalyticsInternal Will engage with PFS Revenue Cycle Decision Support Other ReportingAnalytic Areas as appropriateExternal Will engage with payers directlyEducationmiddot Minimum BABS degreemiddot Preferred BABS degree in Health Care MIS Finance Statistics or MathematicsExperiencemiddot Minimum years of hospital and physician contract modeling experiencemiddot Preferred of hospital and ancillary contract modeling experienceLicensure Certification Registrationmiddot Preferred EpicLanguage Skillsmiddot EnglishKnowledge Skills and Ability Requirementsmiddot Advanced knowledgeexpertise regarding current and evolving provider payment methodologies with a focus on hospital and physicianmiddot Knowledge of governmental payment structuresmiddot Advanced expertise and experience with contract modeling software as well as other financial software including hospital information systems and reporting tools EPICmiddot Experience working with large data setsmiddot Advanced Excel ability requiredmiddot TableauSQL experience a plusmiddot Demonstrated expertise on billing and coding is required as well as broad knowledge of health care finance and accounting issuesmiddot Knowledge of cost accounting and EPSi highly desiredmiddot Strong interpersonal and communication skills essential as well as demonstrated ability to work collaboratively across functional areasmiddot Superior analytic and problem solving skillsmiddot Customer service focusWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationmiddot Minimum BABS degreemiddot Preferred BABS degree in Health Care MIS Finance Statistics or MathematicsExperiencemiddot Minimum years of hospital and physician contract modeling experiencemiddot Preferred of hospital and ancillary contract modeling experienceLicensure Certification Registrationmiddot Preferred EpicLanguage Skillsmiddot EnglishKnowledge Skills and Ability Requirementsmiddot Advanced knowledgeexpertise regarding current and evolving provider payment methodologies with a focus on hospital and physicianmiddot Knowledge of governmental payment structuresmiddot Advanced expertise and experience with contract modeling software as well as other financial software including hospital information systems and reporting tools EPICmiddot Experience working with large data setsmiddot Advanced Excel ability requiredmiddot TableauSQL experience a plusmiddot Demonstrated expertise on billing and coding is required as well as broad knowledge of health care finance and accounting issuesmiddot Knowledge of cost accounting and EPSi highly desiredmiddot Strong interpersonal and communication skills essential as well as demonstrated ability to work collaboratively across functional areasmiddot Superior analytic and problem solving skillsmiddot Customer service focusWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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