Contract Modeling Analyst

Responsibilities

• Conducts financial modeling, analysis and reporting related to managed care contract negotiations
• Concisely summarizes and communicates the results of modeling activities in time sensitive environment
• Maintains working knowledge of current Modeling, Data Warehouse and Patient Accounting systems
• Mines data from multiple sources with multiple criterion and performs detailed analysis to verify the completeness and accuracy of the data and evaluate the data in the context of the designated project
• Performs review of contracts and monitors financial performance and compliance to negotiated rates to ensure net revenue was realized to aid in preparation of upcoming negotiations
• Affords assistance with contract negotiation process by analyzing trends in current reimbursement and potential changes needed to have positive impact or improvement to reimbursement
• Analyzes service line information by payer to understand volumes and rate shortfalls compared to costs
• Prepares ad hoc reports around payer performance
• Fosters relationships with facility/market and corporate personnel to understand market operations and similarities with payer contracts
• Collaborates with other Contract Management staff for understanding of contract intent when programming rates into the Production contract management system

Qualifications

• Bachelor's Degree
• 4+ years of analytical experience in financial analysis, health care pricing, network management, health care economics
• 2+ years of experience in creating and using financial modeling tools, spreadsheets or other related systems/tools including experience in interpreting modeling results to inform decisions in negotiations
• Experience working with data integration and self-service data preparation, models, and analytics
• Accounting, Finance or Business degree, preferred
• Epic Patient Accounting system, Nthrive Contract Management, and SAP Business Objects experience, preferred