Strategic Pricing Services Contract Analyst

This position is remote but requires you to live and work within 60 miles of an HCA Healthcare Hospital (located in FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

About the role

The Contract Analyst is responsible for translating managed care terms and modeling 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
• Perform ad hoc analyses as assigned by departmental Director, Manager, and Team Leads
• Perform Peer-to-Peer (Independent Review) for model changes related to rates or factors
• Complete testing of contract models by service line and document accuracy in permanent calc engine workflows
• Work with senior members of the department to develop responsive customer relationships emphasizing timeliness and accuracy
• Coordinate managed care contract questions with Manager and Team Lead as applicable
• Participate in departmental training and professional development opportunities when available
• Add value to Parallon Contract Modeling by producing accurate results, working efficiently, and continuing to grow in the position

Requirements

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

Benefits

Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• 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.

About Parallon

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. Parallon also offers full-service revenue cycle management and targeted solutions, such as Medicaid Eligibility, for external clients nationwide. With over 17,000 colleagues, Parallon serves nearly 1,000 hospitals and 3,000 physician practices.