Childrens Health System of Texas - TRINITY TOWERS
Managed Care Contract Analyst
Childrens Health System of Texas - TRINITY TOWERS, Dallas, Texas, United States, 75215
Details
Client Name Childrens Health System of Texas - TRINITY TOWERS Job Type Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0
Shift Details
Shift Days 5x8 Scheduled Hours 40
Job Order Details
Start Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s)
Job Description Requires depth within a specialized, critical discipline and/or breadth of substantive professional knowledge that crosses disciplines within the professional field Interprets internal/external business challenges and recommends best practices to improve products, processes or services May lead functional teams or projects with moderate resource requirements, risk, and /or complexity Leads others to solve complex problems; uses sophisticated analytical thought to exercise judgment and identify innovative solutions Impacts the achievement of customer, operational, project or service objectives; work is guided by functional policies Works independently, with guidance in only the most complex situations Communicates difficult concepts and negotiates with others to adopt a different point of view
Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met for the system. Serve as a mentor to other Analysts on the team and a subject matter expert to other CHST departments. Complete financial impact analysis of all contract negotiations, including modeling of contract proposals, reporting of contract proposal impact, performance and quantifying financial impact of these proposals for future year(s) and developing alternative proposals within the budget parameters. Present analysis and recommendations to leadership. Prepare multiple analyses and presentations by extracting data from systems including Crystal, EPIC, STRATA and other Children's Health Services of Texas (CHST) systems and relational databases utilizing expertise in Excel. Evaluates the need to create new or modify existing ad hoc and/or customized reports. Review all Managed Care contracts and amendments as received and complete require system updates, ensuring that all contracts in EPIC are current and calculating correctly. Analyze contracts and prepare all supporting schedules necessary to update/maintain the EPIC system on a current basis. This includes but not limited to: reviewing all new contracts/amendments, meeting with Revenue Cycle staff to review changes, communicating with the payors to receive all updates on current basis, researching and downloading data form payor sites, analyzing and comparing new fee schedules to the prior fee schedules, preparing all uploads, validating input and updating EPIC reimbursement contracts. Stay abreast of all Texas Medicaid & Healthcare Partnership (TMHP), CMS and other governmental regulation changes that affect Fee Schedule pricing. Proactively model all changes to fee schedules to determine the financial impact on CHST revenue and communicate with leadership. Accountable for the maintenance of the Payor and Plan database in EPIC. Facilitate monthly meetings and seek agreement before any changes are made. Maintain the synchronization among the service areas. Ensure all plans are mapped to correct contract in EPIC and facilitate audits, at least on a quarterly basis. Interprets managed care contract terms and validates understanding with the contract negotiator and model relevant parameters into contract model application for contracts with annual revenue in excess of $2.3 Billion.
Client Details
Address 2777 N. Stemmons Freeway CMC - TRINITY TOWERS City Dallas State TX Zip Code 75201
Client Name Childrens Health System of Texas - TRINITY TOWERS Job Type Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0
Shift Details
Shift Days 5x8 Scheduled Hours 40
Job Order Details
Start Date 09/08/2025 End Date 12/08/2025 Duration 13 Week(s)
Job Description Requires depth within a specialized, critical discipline and/or breadth of substantive professional knowledge that crosses disciplines within the professional field Interprets internal/external business challenges and recommends best practices to improve products, processes or services May lead functional teams or projects with moderate resource requirements, risk, and /or complexity Leads others to solve complex problems; uses sophisticated analytical thought to exercise judgment and identify innovative solutions Impacts the achievement of customer, operational, project or service objectives; work is guided by functional policies Works independently, with guidance in only the most complex situations Communicates difficult concepts and negotiates with others to adopt a different point of view
Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met for the system. Serve as a mentor to other Analysts on the team and a subject matter expert to other CHST departments. Complete financial impact analysis of all contract negotiations, including modeling of contract proposals, reporting of contract proposal impact, performance and quantifying financial impact of these proposals for future year(s) and developing alternative proposals within the budget parameters. Present analysis and recommendations to leadership. Prepare multiple analyses and presentations by extracting data from systems including Crystal, EPIC, STRATA and other Children's Health Services of Texas (CHST) systems and relational databases utilizing expertise in Excel. Evaluates the need to create new or modify existing ad hoc and/or customized reports. Review all Managed Care contracts and amendments as received and complete require system updates, ensuring that all contracts in EPIC are current and calculating correctly. Analyze contracts and prepare all supporting schedules necessary to update/maintain the EPIC system on a current basis. This includes but not limited to: reviewing all new contracts/amendments, meeting with Revenue Cycle staff to review changes, communicating with the payors to receive all updates on current basis, researching and downloading data form payor sites, analyzing and comparing new fee schedules to the prior fee schedules, preparing all uploads, validating input and updating EPIC reimbursement contracts. Stay abreast of all Texas Medicaid & Healthcare Partnership (TMHP), CMS and other governmental regulation changes that affect Fee Schedule pricing. Proactively model all changes to fee schedules to determine the financial impact on CHST revenue and communicate with leadership. Accountable for the maintenance of the Payor and Plan database in EPIC. Facilitate monthly meetings and seek agreement before any changes are made. Maintain the synchronization among the service areas. Ensure all plans are mapped to correct contract in EPIC and facilitate audits, at least on a quarterly basis. Interprets managed care contract terms and validates understanding with the contract negotiator and model relevant parameters into contract model application for contracts with annual revenue in excess of $2.3 Billion.
Client Details
Address 2777 N. Stemmons Freeway CMC - TRINITY TOWERS City Dallas State TX Zip Code 75201