Contract Analyst

About the role

ChristianaCare is a dynamic healthcare organization focused on improving health outcomes, making care more accessible, and reducing healthcare costs. It includes various services such as outpatient care, home health, urgent care, three hospitals, a trauma center, and specialized centers for heart, vascular, cancer, and women's health. The organization is also known for its innovative initiatives like the Gene Editing Institute and its commitment to IT best practices.

Responsibilities

• Implement required additions, revisions, and updates to Contract Management system for managed care and governmental payers, including annual contract updates and quarterly fee schedule revisions.
• Document all system changes via “Change Control” process managed by IT.
• Thoroughly test all new contract builds, as well as contract and fee schedule updates to ensure claims net down correctly before loading payment terms into production.
• Conduct payment reviews to identify payer variances resulting from incorrect system setup, policy changes, or payer non-compliance.
• Maintain payor files including contract agreements, fee schedules, and amendments.
• Work closely with immediate manager and team, participating in daily huddles.
• Show strong independent work ethic and self-motivation to complete daily tasks and other projects.
• Attend and participate in departmental staff and management staff meetings.
• Adhere to established departmental safety rules and practices.
• Perform other duties as required.

Requirements

• Bachelor’s Degree and/or equivalent work experience.
• A minimum of two years of healthcare billing/accounts receivable or payor contract management experience preferred.
• Epic reimbursement contract experience preferred.
• Knowledge of payor contracting, third-party/managed care reimbursement, and contract management systems preferred.

Qualifications

• Resolute Hospital Billing Expected Reimbursement Contracts Administration certification required within 6 months of date of hire.

Skills

Strong independent work ethic, self-motivation, and attention to detail are essential.

Benefits

Full medical, dental, vision, life insurance, retirement planning options, generous paid time off, 12-week paid parental leave, and numerous work/life benefits including access to care.com, backup care services, fitness and wellness reimbursement, and discounts on various vendors.

Pay

Annual Compensation Range: $68,161.60 - $109,054.40

Schedule

N/A