Prisma Health
Managed Care Contract Analyst, Corporate Greenville, FT, Day - Remote
Prisma Health, Greenville, South Carolina, us, 29610
Inspire health. Serve with compassion. Be the difference.
Job Summary
Coordinate system-wide hospital and physician services contracting, including strategy formulation, contract terms, and contract performance. Manage the implementation, presentation, and servicing of all contracts across the system. Provide system-wide managed care education and communication.
Remote work can be considered for this position.
Accountabilities
Coordinate the processing of all payer contracts and amendments, including development, review, and processing of new contracts, renewals, and amendments. Ensure timely execution and review of business terms, negotiate single case agreements if necessary. 40%
Analyze the financial and operational impacts of procedural changes implemented by payers. 10%
Develop and maintain contracting decision-making and tracking tools. 10%
Create model contracts or language for proposals, establish reporting techniques, and recommend solutions for identified issues. 15%
Provide problem-solving support to Prisma Health affiliates and departments, ensure timely receipt and dissemination of payer documents, and conduct educational sessions. Build and maintain effective payer and internal relationships. 25%
Supervisory/Management Responsibilities
This is a non-management role reporting to a supervisor, manager, director, or executive.
Minimum Requirements
Bachelor's Degree.
5 years of managed-care experience, preferably in contracting or provider relations. Alternatively, 5 years in healthcare administration, health insurance, or provider contracting.
Required Certifications/Registrations/Licenses
N/A
Other Required Skills and Experience
Knowledge of the health insurance industry, especially managed-care contracting operations and negotiation techniques.
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
7001 Corporate
Department
70019069 Managed Care Contracting
Share your talent with us! Our vision is to transform healthcare for the communities we serve. We seek talented individuals in every role at Prisma Health.
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