
Financial Analyst
2 weeks ago
This role plays a crucial part in the loading and maintaining contract pricing terms into various systems.
Key Responsibilities:
- Contract Term Interpretation: Review and accurately interpret managed care contract terms to ensure timely implementation.
- System Loading: Load contract terms into claims adjudication systems for seamless processing.
- Complex Analyses: Prepare detailed analyses as requested with high degrees of accuracy and efficiency.
- Collaboration: Work closely with managed care operations teams for smooth contract implementation.
Required Skills and Qualifications:
- Bachelor's degree required.
- Prior experience in healthcare-related financial analysis, preferably in managed care reimbursement.
- Knowledge of Google Cloud / Big Query is preferred but not required.
- Strong problem-solving and analytical skills.
- Familiarity with coding (DRG, APC, CPT/HCPCS, ICD-10).
- UB04 and HCFA-1500 bill forms.
- Demonstrates critical thinking.
- Strong organizational skills, including project planning and time management.
- Excellent communication skills.
What We Offer:
- A dynamic work environment.
- The opportunity to contribute to complex projects.
- Ongoing professional development opportunities.
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