It's more than a career, it's a calling.

　　MO-REMOTE

　　Worker Type:

　　Regular

　　Job Highlights:

　　Fantastic opportunity to advance your career with SSM Health. Fully remote position with chance to have office in St. Louis.

　　Analyzes and prepares financial models to support managed care contract negotiations, which encompasses coordination of information from facility and physician. Suggest pricing strategies to maximize reimbursement

　　Utilize managed care contract pricing transparency tools to evaluate market position.

　　Analyze and coordinate resolution of escalated claims adjudication issues.

　　Provide support of the hospital contract management system (EPIC) and related modeling tools including advising on correct coding of managed care contracts and testing updates.

　　Assists with identifying annual coding (cpt, drg, etc.) changes and proposes contract updates to maintain contract carve-outs. .

　　Provide annual reporting to the managed care leaders to assist with strategic planning.

　　Provide ad-hoc managed care analytics for various reimbursement projects and financial studies.

　　Job Summary:

　　Performs analysis and reporting regarding financial operations and information.

　　Job Responsibilities and Requirements:

　　PRIMARY RESPONSIBILITIES

　　•Analyzes and prepares financial models to support managed care contract negotiations, which encompasses coordination of information from facility and physician. Suggest pricing strategies to maximize reimbursement.

　　•Analyze and coordinate resolution of escalated claims adjudication issues.

　　•Provide support of the hospital contract management system (EPIC) and related modeling tools including advising on correct coding of managed care contracts and testing updates.

　　•Assists with identifying annual coding (cpt, drg, etc.) changes and proposes contract updates to maintain contract carve-outs. .

　　•Performs special projects and duties as assigned, including research, forecasting and exploring viable alternatives.

　　•Performs other duties as assigned.

　　EDUCATION

　　Bachelor's degree or equivalent combination of experience and educationEXPERIENCE

　　Seven years' experienceDepartment:

　　8764020033 Managed Care-Finance

　　Work Shift:

　　Day Shift (United States of America)

　　Scheduled Weekly Hours:

　　40

　　SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)