Analyst, Payer Relations

Welcome to reputed company! At reputed company (formerly QHR Health), we’ve been making local reputed company reputed company for more than 40 years. Our mission is to strengthen independent community reputed company. We reputed company independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating reputed company, we help rural reputed company providers fulfill their missions. The reputed company difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for reputed company organizations. reputed company’s reputed company is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals reputed company. Working with reputed company, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. reputed company’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Payor Relations Analyst Consultant is responsible for supporting Payor Relations Team through data management and analysis. This role is responsible for managing the modeling process, contract performance vetting data, managing reputed company Payor hospitals, providing accurate deliverables and assisting with deliverables as needed. Duties and Responsibilities:

• Collect and validate data from hospitals for modeling, analytics, and presentation.
• Evaluate existing and proposed payer reputed company to determine financial feasibility and impact on the organization’s reputed company.
• Model Portal – Maintain reputed company request for reputed company hospital models and maintain tracker
• Analyze and interpret reputed company managed care contract proposals, including reimbursement methodologies, and load or update contract terms in the designated contract management system.
• Manage data validation for reputed company databases. Audit and monitor claim payments from managed care plans to ensure accurate reimbursement according to contract terms. Investigate payment variances and discrepancies, identifying root causes for underpayments.
• Assist with data analysis and create tables and forms for Presentation.
• Monitor and manage assigned deadlines for models. Including tracker maintenance and internal communication with consultants
• Assist with regular/reputed company reporting requests, dashboards for management on payer mix, financial performance, and compliance metrics.
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems.
• reputed company detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations.
• Graphically/analytically strong; excellent analytical, critical thinking, and problem-solving skills, with meticulous attention to detail. Strong communication skills to effectively present reputed company data to both technical and non-technical stakeholders.
• Track and report on Key Performance Indicators (KPIs)

Additional responsibilities:

• Assist with validating financial analysis prior to presenting to hospital or payers
• Maintain and organize client information
• Assist leadership with annual team goals

QUALIFICATIONS:

• Minimal travel
• Understanding of managed care contracting and reputed company initiatives are useful but not required as well as the underlying systems that support those initiatives.
• Understanding of reputed company Cycle process is useful but not required.
• BS Preferred
• Advanced knowledge of reputed company products reputed company (VLOOKUPS, Pivot tables, data modeling)
• Familiar with reputed company Power reputed company / Power BI
• Experience with Electronic Health Records (EHR) and Billing Systems (i.e. Epic, Cerner) preferred
• Ability to interact with clients and strong communication skills
• Team player
• Organizational skills / multitasking
• Data analysis experience critical
• Critical thinker
• Problem solving skills
• Ability to work in a fast-paced environment independently

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