Contract Analyst Job at Mosaic Life Care
Details
- Contract Analyst
- Managed Care
- Full Time Status
- Day Shift
Summary
- This position works under the supervision of the Vice President- Shared Services. This position is responsible for the evaluation, negotiation, monitoring and administration of contracts. Contracts may include hospital, retail, physician and heartland provided services. This position is also responsible for net revenue analysis, development of RFP’s, price negotiations, development and execution of negotiating strategy; and will monitor vendor quality through evaluation, and audits. This position is employed by Mosaic Health System.
Duties
- Performs detailed data analysis. Assists with analysis of new services or processes as needed.
- Participates\\leads process improvement discussion as necessary. Provides education as needed to personnel in all departments. Assures all policies and processes have been followed, with proper stakeholder involvement, prior to finalizing contracts.
- Coordinates contract review through attorneys as necessary.
- Drafts contracts as necessary. Reviews contracts, analyzes, negotiates and finalizes contracts. Facilitates discussion with contract owners as necessary.
- Works with managed care companies regarding reimbursement as appropriate. Evaluates for accuracy, communicates information to internal stakeholders, and monitors performance. Maintains, validates and models payment information for patient accounting system, cost accounting system, monthly reporting and budgeting. Analyzes net revenue, payer policy, and employer movement among payers Manages payer activity and intent proactively.
Qualifications
- Bachelor's degree in business or finance related field.
- Three years experience in health care business setting preferred and three years managed care contracting preferred.
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