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Virtual Contract Analyst in Nashville at Parallon

Date Posted: 3/14/2019

Job Snapshot

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  • Location:
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    Not Specified
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Job Description

  • Model managed care contract payment terms using ClearContracts
  • Review, create and maintain ClearContracts master files including global service descriptions, service rules, global fee schedules, profiles and hierarchy profiles
  • Complete appropriate Sarbanes Oxley workflow steps within the Calc Engine of ClearContracts
  • Complete testing of contract models by service line and keep documentation of accuracy in the Documentation & Compliance Module of ClearContracts
  • Upload and attach all pertinent contract documentation related to the rate schedules within the Documentation and Compliance Module of ClearContracts
  • Complete and maintain the “Legal Options” section on the Documentation & Compliance tab
  • Coordinate with IT&S Reimbursement Product Support for the modeling of Government or other contracts modeled directly in the Payment Calculator System for contract effective periods prior to ClearContracts implementation
  • Provide the Shared Service Center Modelers with support for model updates using existing tools during the ClearContracts transition period
  • Provide educational resources to support contract implementation and administration
  • Liaison with Managed Care Services Group and Payors to address managed care contract administration issues related to Governmental, National or Global Models
  • Coordinate managed care contract implementation activities with the Managed Care VP’s, Managed Care Services Group and the functional managers within the Shared Services Center
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

  • Communication - communicates clearly and concisely, verbally and in writing
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - able to work effectively with other employees and external parties
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
  • Basic skills - able to perform moderately complex mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
  • Excellent oral and written communication skills
  • Self motivated
  • Able to work independently and as a team member
  • Analytical
  • Detail oriented
  • Excellent PC skills including experience with Microsoft Office and Excel
  • Excellent people skills
  • Management skills
  • Organizational skills

  • Undergraduate degree required

  • Minimum 3years HCA experience preferred
  • Proven ability to manage project work
  • Required understanding of medical finance, managed care contracting, or business office/claims shop operations
  • Working knowledge of managed care contracting and modeling preferred