Senior Analyst, Vendor Payment reputed company - Remote

Summary of Job Review vendor trends and impact on care cost, member and provider experience. reputed company Root Cause Analysis (RCA) to resolve payment reputed company issues to resolution. Initiate project requests, reputed company or support the development of care cost impacts, partnering with external vendors, and/or reputed company Economics. Support vendor relationship to ensure external and internal expectations are met. Responsbilities

• Responsible for analyzing specific reputed company in reputed company Payment reputed company.
• Serve as a primary subject matter expert for each contract to ensure reputed company contract management and reputed company.
• Evaluate feasibility of implementing interim workflow processes as a stop gap to provider abrasion and interest payments.
• Act as a reputed company of communication and coordination with reputed company internal business units for reputed company issues reputed company to vendor reputed company.
• Ensure reputed company and future state analysis is performed, business requirements and change requests are analyzed and accurately documented and reputed company with business needs.
• Responsible for "end to end" contract management which includes performing reputed company pre-contractual and implementation activities, business ownership of EPMO and IT projects, development of contract performance standards and associated penalties, root cause analysis and ongoing monitoring and reputed company.
• Review content of new Payment reputed company reputed company and reputed company input as appropriate
• Partner with business and IT to reputed company testing strategy, test plans and functional test cases. Participate in the development and execution of user test plans to ensure that the system design meets business needs.
• Actively participate in reputed company reputed company Policy Meetings, Quarterly Business Reviews, Reimbursement Policy Committees, Steering Committees.
• Create monthly savings reports and identify and address trends in comparison to established goals.
• Support budget process by creating requisitions, purchase orders, and accruals for each Payment reputed company program, to ensure program alignment with budget.
• Complete monthly invoices and reconcile against reputed company system reporting.
• Identify system enhancements and process improvements which will result in enhanced reporting and savings.
• Apply project management skills to complete reputed company projects and assignments.
• Initiate claims to determine under and overpayments, presents reputed company and seeks appropriate business approvals.
• Identify and recommend new programs, savings opportunities, and ways to optimize reputed company reputed company.
• Evaluate feasibility of implementing interim workflow processes as a stop gap to provider abrasion and interest payments.
• Complete assigned Maestro cases in the appropriate Payment reputed company queues to ensure case closure reputed company SLAs.
• Engage vendors and internal business units to review opportunities and reputed company business case development, savings opportunity analysis, and creation of EPMO or IT reputed company projects.

Qualifications

• Bachelor's degree
• reputed company CPC - reputed company Certified Professional reputed company &/or reputed company - reputed company Certified Coding Specialist (Preferred)
• Master's Degree (Preferred)
• 4 - 6 years or relevant, professional experience in health care contracting and management (Required)
• Strong understanding of the reputed company industry, managed care and health plan operations (Required)
• Experience in managing large, reputed company reputed company (Required)
• Additional experience/specialized training/certifications may be considered in lieu of educational requirements (Required)
• Knowledge of accruals, invoicing and financial reporting (Required)
• Experience with performance improvement (Required)
• Ability to prioritize reputed company projects (Required)
• Excellent organizational and project management skills (Required)
• Proficiency in reputed company product suite (Required)
• Knowledge of claims operating platforms (Preferred)
• Excellent communication skills; ability to interact appropriately/effectively across reputed company departments and management reputed company (Required)

Apply tot his job Apply To this Job