Contract Analyst

About the Role

This Work from Home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). The Contract Analyst is responsible for translating managed care terms and model relevant parameters in Concuity/ ClearContracts Calc Engine to ensure accurate discounts on patient accounts and proper reflection of expected net revenue.

Responsibilities

• Model managed care contracts through the Concuity Calc Engine
• Performance of ad hoc analyses as assigned by departmental Director, Manager and Team Leads
• Performs Peer to Peer (Independent Review) for model changes related to rates or factors
• Completes testing of contract models by service line and keeps documentation of accuracy in permanent calc engine workflows
• Works with senior members of the department, develop a responsive relationship with customers emphasizing timeliness and accuracy
• Coordinate managed care for contract questions with Manager and Team Lead as applicable
• Participate in departmental training and professional development opportunities when available
• Adds value to Parallon Contract Modeling by producing accurate results, working efficiently, and continuing to grow in the position

Qualifications

• College undergraduate degree preferred
• Minimum of 1-3 years of experience preferred
• Working knowledge of managed care contracting and modeling desired

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

This response is AI-generated, for reference only.