Contract System Management Analyst - Remote

%3Cp%3E%3Cb%3EExtraordinary+Careers.+Endless+Possibilities.%3C%2Fb%3E%3C%2Fp%3E%3Cp%3E%3Cb%3EWith+the+nation%E2%80%99s+largest+home+infusion+provider%2C+there+is+no+limit+to+the+growth+of+your+career.%3C%2Fb%3E%3C%2Fp%3E%3Cp%3E%C2%A0Option+Care+Health%2C+Inc.+is+the+largest+independent+home+and+alternate+site+infusion+services+provider+in+the+United+States.+With+over+8%2C000+team+members+including+5%2C000+clinicians%2C+we+work+compassionately+to+elevate+standards+of+care+for+patients+with+acute+and+chronic+conditions+in+all+50+states.+Through+our+clinical+leadership%2C+expertise+and+national+scale%2C+Option+Care+Health+is+re-imagining+the+infusion+care+experience+for+patients%2C+customers+and+team+members.%3C%2Fp%3E%3Cp%3EJoin+a+company+that+is+taking+action+to+develop+an+inclusive%2C+respectful%2C+engaging+and+rewarding+culture+for+all+team+members.+At+Option+Care+Health+your+voice+is+heard%2C+your+work+is+valued%2C+and+you%E2%80%99re+empowered+to+grow.+Cultivating+a+team+with+a+variety+of+talents%2C+backgrounds+and+perspectives+makes+us+stronger%2C+innovative%2C+and+more+impactful.+Our+organization+requires+extraordinary+people+to+provide+extraordinary+care%2C+so+we+are+investing+in+a+culture+that+attracts%2C+hires+and+retains+the+best+and+brightest+talent+in+healthcare.%3C%2Fp%3E%3Cp+style%3D%22text-align%3Aleft%22%3E%3Cu%3E%3Cb%3EJob+Description+Summary%3A%3C%2Fb%3E%3C%2Fu%3E%3C%2Fp%3EResponsible+for+preparing+third+party+payer+agreements+to+load+in+the+pharmacy+management+system+for+Option+Care.+Responsible+for+building+the+third+party+payer+agreements+in+the+pharmacy+operations+system+%28CPR+Plus%29.++Research%2C+understand%2C+and+interpret+the+applicable+billing+rules%2C+billing+units%2C+and+terms+and+conditions+of+the+agreement+in+order+to+drive+success+in+billing+and+collecting+on+the+services+provided+by+Option+Care.++Supports+the+Managers+and+Directors+within+the+Commercial+Contracting+group+facilitating+a+cross+functional+and+collaborative+working+relationship+with+Contracting%2C+Pricing%2C+Trade%2C+and+Revenue+Cycle+Management.++Collaborate+closely+with+the+Contract+Operations+Department%2C+as+well+as+Revenue+Cycle+Management+and+the+CMCs.%3Cp+style%3D%22text-align%3Aleft%22%3E%3Cu%3E%3Cb%3EJob+Description%3A%3C%2Fb%3E%3C%2Fu%3E+%E2%80%8B%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%3C%2Fp%3E%3Cp%3E%3Cb%3EJob+Responsibilities+%28listed+in+order+of+importance+and%2For+time+spent%29%3C%2Fb%3E%3C%2Fp%3E%3Cul%3E%3Cli%3ECreate+and+build+the+record+for+third+party+payer+contract+agreements.+This+includes+creating+insurance+plans%2C+researching+and+inputting+business+rules%2C+and+loading+the+contract+pricing+terms+for+implementation%3C%2Fli%3E%3Cli%3EMaintain+assigned+payer+agreements.+Update+and+execute+any+changes+to+pricing%2C+coding%2C+or+business+rules.%3C%2Fli%3E%3Cli%3EResponsible+for+working+with+the+Contracting+and+Revenue+Cycle+Management+on+site+integration+to+insure+proper+insurance+plans+are+accounted+for%2C+and+assigned+to+the+correct+location%3C%2Fli%3E%3Cli%3EIdentify+contracts+that+are+not+generating+revenue+to+see+if+there+is+an+opportunity+to+purge+records+and+reduce+insurance+plan+selection+errors%3C%2Fli%3E%3Cli%3EAudit+third+party+agreement+pricing+tables+to+ensure+accuracy+to+improve+Revenue+Cycle+Management+success%3C%2Fli%3E%3Cli%3ECollaborate+with+Pricing+team+when+trends+are+identified+to+insure+proper+insurance+plan+was+utilized+so+that+we+are+maximizing+profitability+by+reducing+bad+debt+and+other+payer+adjustments%3C%2Fli%3E%3Cli%3ECollaborate+with+IT+and+Revenue+Cycle+Management+on+System+Upgrades+that+could+impact+contract+build%2C+as+well+as+make+recommendations+on+system+enhancement+opportunities%3C%2Fli%3E%3Cli%3ECollaborate+with+Revenue+Cycle+Management+to+insure+proper+insurance+plans+are+set+up%2C+and+able+to+be+utilized+by+CMC%3C%2Fli%3E%3Cli%3EProvide+detailed+advanced+system+reports+for+revenue+cycle+management+and+pricing+teams+as+it+relates+to+payer+pricing+strategies+that+are+being+input+into+the+system%3C%2Fli%3E%3Cli%3EAssist+with+training+of+Contract+System+Management+Specialists%3C%2Fli%3E%3C%2Ful%3E%3Ch3%3ESupervisory+Responsibilities%3C%2Fh3%3E%3Cp%3EDoes+this+position+have+supervisory+responsibilities%3F+%28i.e.+hiring%2C+recommending%2Fapproving+promotions+and+pay+increases%2C+scheduling%2C+performance+reviews%2C+discipline%2C+etc.%29+No%3C%2Fp%3E%3Cp%3E%3Cb%3EBasic+Education+and%2For+Experience+Requirements%3C%2Fb%3E%3C%2Fp%3E%3Cul%3E%3Cli%3EBachelor%E2%80%99s+degree%2C+or+High+School+Diploma+with+at+least+5+years+of+experience+in+Revenue+Cycle+Management%2C+Contract+Management%2C+Home+Infusion+intake%2C+or+home+infusion+pharmacy+technician.%3C%2Fli%3E%3C%2Ful%3E%3Cp%3E%3Cb%3EBasic+Qualifications+%3C%2Fb%3E%3C%2Fp%3E%3Cul%3E%3Cli%3EAbility+to+work+in+a+deadline+driven+environment%3C%2Fli%3E%3Cli%3EStrong+analytical+and+problem+solving+skills%3C%2Fli%3E%3Cli%3EAbility+to+function+individually+as+well+as+in+cross-functional+teams.%C2%A0+Ability+to+identify+improvement+and+growth+opportunities%3C%2Fli%3E%3Cli%3EAdvanced+level+skill+in+Microsoft+Excel+with+an+ability+to+do+VLOOKUP+up%2C+basic+formulas%2C+and+pivot+table+work.%3C%2Fli%3E%3Cli%3EExperience+with+analyzing+and+reporting+data+ability+to+identify+issues%2C+model+trends%2C+or+exceptions+to+drive+improvement+of+results+and+find+solutions%3C%2Fli%3E%3Cli%3EExperience+with+HCPCS+coding%2C+and+Drug+Pricing+Sources+%28AWP%2C+ASP%2C+WAC%29%3C%2Fli%3E%3Cli%3EIntermediate+level+skill+in+Microsoft+PowerPoint+and+Microsoft+Word%3C%2Fli%3E%3C%2Ful%3E%3Cp%3E%3Cb%3ETravel+Requirements%3A%C2%A0+%28if+required%29%3C%2Fb%3E%3C%2Fp%3E%3Cp%3EWilling+to+travel+up+to+10%25+of+the+time+for+business+purposes+%28within+state+and+out+of+state%29%3C%2Fp%3E%3Cp%3E%3Cb%3EPreferred+Qualifications+%26amp%3B+Interests+%28PQIs%29%3C%2Fb%3E%3C%2Fp%3E%3Cul%3E%3Cli%3ECPR+Plus+experience%3C%2Fli%3E%3Cli%3EContract+Management+experience%3C%2Fli%3E%3Cli%3EExperience+with+Medicare%2C+Medicaid%2C+PBM%2C+and+other+third+party+payer+payment+guidelines%3C%2Fli%3E%3C%2Ful%3E%3Cp%3E%3Ci%3EThis+job+description+is+to+be+used+as+a+guide+for+accomplishing+Company+and+department+objectives%2C+and+only+covers+the+primary+functions+and+responsibilities+of+the+position.+It+is+in+no+way+to+be+construed+as+an+all-encompassing+list+of+duties.+%3C%2Fi%3E%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%3C%2Fp%3E%3Cp+style%3D%22text-align%3Aleft%22%3EDue+to+state+pay+transparency+laws%2C+the+full+range+for+the+position+is+below%3A%3C%2Fp%3E%3Cp+style%3D%22text-align%3Aleft%22%3ESalary+to+be+determined+by+the+applicant%26%2339%3Bs+education%2C+experience%2C+knowledge%2C+skills%2C+and+abilities%2C+as+well+as+internal+equity+and+alignment+with+market+data.%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%3C%2Fp%3EPay+Range+is+%2446%2C069.64-%2476%2C767.74%3Cp%3E%3Cb%3EBenefits%3A%3C%2Fb%3E%3C%2Fp%3E%3Cp%3E-Medical%2C+Dental%2C+%26amp%3B+Vision+Insurance%3C%2Fp%3E%3Cp%3E-Paid+Time+off%3C%2Fp%3E%3Cp%3E-Bonding+Time+Off%3C%2Fp%3E%3Cp%3E-401K+Retirement+Savings+Plan+with+Company+Match%3C%2Fp%3E%3Cp%3E-HSA+Company+Match%3C%2Fp%3E%3Cp%3E-Flexible+Spending+Accounts%3C%2Fp%3E%3Cp%3E-Tuition+Reimbursement%3C%2Fp%3E%3Cp%3E-myFlexPay%3C%2Fp%3E%3Cp%3E-Family+Support%3C%2Fp%3E%3Cp%3E-Mental+Health+Services%3C%2Fp%3E%3Cp%3E-Company+Paid+Life+Insurance%3C%2Fp%3E%3Cp%3E-Award%2FRecognition+Programs%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%3C%2Fp%3E%3Cp+style%3D%22text-align%3Aleft%22%3E%3Ci%3EOption+Care+Health+subscribes+to+a+policy+of+equal+employment+opportunity%2C+making+employment+available+without+regard+to+race%2C+color%2C+religion%2C+national+origin%2C+citizenship+status+according+to+the+Immigration+Reform+and+Control+Act+of+1986%2C+sex%2C+sexual+orientation%2C+gender+identity%2C+age%2C+disability%2C+veteran+status%2C+or+genetic+information.%3C%2Fi%3E%3C%2Fp%3E%3Cp+style%3D%22text-align%3Ainherit%22%3E%E2%80%8B%3C%2Fp%3E