GENERAL SUMMARY:

Under minimal supervision of the Manager, independently leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will proactively identify rates, methodologies, and processes that need improvement and will develop and implement solutions to optimize reimbursement. 

EDUCATION/EXPERIENCE REQUIRED:

Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. Master's Degree preferred. Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity including experience with various reimbursement methodologies (DRGs, per diems, fee schedules, case rates, etc.). Report writing capabilities or ability / willingness to learn. Strong Analytical and Critically Thinking skills (via curiosity, creativity, skepticism, and adept in use of logic) relative to accomplishing business objective and problem solving.  Detail oriented. Proficient in Microsoft Excel (queries, reports, pivots, What If scenarios and database mgmt. a plus). Proficient in Data extraction & reporting tools (EPSi, SQL, Clarity, etc.). Excellent oral and written communication skills. Strong organizational and interpersonal skills. Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology.

Additional Information Organization: Corporate Services Department: Managed Care Contracting Shift: Day Job Union Code: Not Applicable