Med-Metrix
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Contract Management Analyst
role at
Med-Metrix .
Job Purpose The Contract Management Analyst is familiar with all kinds of commercial managed care and governmental reimbursement. The role ensures that contract provisions are loaded accurately and also regularly performs detailed analysis of pricing accuracy with summarized feedback for external clients and internal leadership.
Duties And Responsibilities
Loads Managed Care contracts into the MMX’s proprietary Contract Management system
Performs regular analysis and validation of output of expected reimbursement from the Contract Management System
Prepares and reviews Managed Care models including forecasting, data analytics and accuracy of system integrity
Provides detailed contract feedback on antiquated terms and areas of potential revenue leakage for internal and external clients
Learn application functionality and grow industry knowledge
Performs other duties as requested
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum necessary to perform assigned duties
Qualifications
Bachelor's degree required
Minimum 3 years work experience including healthcare financial analysis and Managed Care Contracts/Contract Management
Experience with interpreting Managed Care contracts, both governmental and private
Revenue cycle management experience is required
Team player with strong communication skills enhanced by my multi-tasking abilities
Highly numerical aptitude with excellent analytical skills
Capable of working independently to meet goals and deadlines
Advanced Excel knowledge and ability to distill large excel files into executive summaries
Ability to thrive in a fast paced and dynamic work environment
Excellent communication and presentation skills
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Seniority level Mid-Senior level
Employment type Contract
Job function Research, Analyst, and Information Technology
Industries Hospitals and Health Care
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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Contract Management Analyst
role at
Med-Metrix .
Job Purpose The Contract Management Analyst is familiar with all kinds of commercial managed care and governmental reimbursement. The role ensures that contract provisions are loaded accurately and also regularly performs detailed analysis of pricing accuracy with summarized feedback for external clients and internal leadership.
Duties And Responsibilities
Loads Managed Care contracts into the MMX’s proprietary Contract Management system
Performs regular analysis and validation of output of expected reimbursement from the Contract Management System
Prepares and reviews Managed Care models including forecasting, data analytics and accuracy of system integrity
Provides detailed contract feedback on antiquated terms and areas of potential revenue leakage for internal and external clients
Learn application functionality and grow industry knowledge
Performs other duties as requested
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum necessary to perform assigned duties
Qualifications
Bachelor's degree required
Minimum 3 years work experience including healthcare financial analysis and Managed Care Contracts/Contract Management
Experience with interpreting Managed Care contracts, both governmental and private
Revenue cycle management experience is required
Team player with strong communication skills enhanced by my multi-tasking abilities
Highly numerical aptitude with excellent analytical skills
Capable of working independently to meet goals and deadlines
Advanced Excel knowledge and ability to distill large excel files into executive summaries
Ability to thrive in a fast paced and dynamic work environment
Excellent communication and presentation skills
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Seniority level Mid-Senior level
Employment type Contract
Job function Research, Analyst, and Information Technology
Industries Hospitals and Health Care
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
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