Senior Analyst (Remote) - Oceanport, NJ
Company: RWJBarnabas Health Corporate Services
Location: Oceanport
Posted on: October 3, 2024
Job Description:
Job Overview:The Senior Analyst assists with aspects of the
fee-for-service environment related to contract negotiations, rate
modeling and contract performance review. Additionally, the
position will collaborate with all departments of the revenue chain
to ensure revenue optimization for the health
system.Qualifications:Required:
- Bachelor s degree in finance or accounting required.
- Experience working with complex and sophisticated managed care
contracts.
- Strong analytical skills with ability to manipulate large data
sets into meaningful information.
- Advanced knowledge of Microsoft Excel, including formulas,
lookups and pivot tables.
- Must possess strong interpersonal and email communication
skills.Preferred:
- 5 years of experience relating to healthcare reimbursement,
strongly preferred.
- Experience solving difficult problems relating to
reimbursement, contract modeling and revenue cycle functions,
strongly preferred. Scheduling Requirements:
- This role is fully remote with the option to work in-person if
desired with a designated office space.Essential Functions
- Analytical lead on modeling contract rates throughout the
managed care contract negotiation process.
- Assists in varying aspects of managed care payor negotiations
including proposals, rate validation, rebalancing, language review
and communication with insurance companies.
- Evaluate payor performance relating to profitability,
benchmarking, denials, contract compliance and retrospective
reviews.
- Collaborates with the system business office to provide support
relating to contract interpretation, denial reviews, payment
variances, and cost-based audit reviews.
- Supports the loading of payor contracts into the contract
management system and validates accuracy at time of
implementation.
- Collaborates with hospitals on creation and/or review of
revenue proformas relating to new service offerings.
- Leads managed care payor projects in determining financial
impact and progress tracking.
- Works with outside vendors on projects relating to revenue
recovery and strategic pricing assessments.
- Research changes relating to managed care payor policies and
determine financial impact to the health system.
- Models financial impact of new technologies, and provides
timely notification to payers in accordance with contractual
terms.
- Serves as a managed care resource across the organization
assisting with reimbursement inquires, contractual rate grids,
facility credentialing and various ad hoc requests.
- Special projects as assigned.Other Duties: Please note this job
description is not designed to cover or contain a comprehensive
listing of activities, duties or responsibilities that are required
of the employee for this job. Duties, responsibilities and
activities may change at any time with or without notice.At
RWJBarnabas Health, our market-competitive Total Rewards package
provides comprehensive benefits and resources to support our
employees physical, emotional, social, and financial health.
Paid Time Off (PTO) Medical and
Prescription Drug InsuranceDental and Vision InsuranceRetirement
PlansShort & Long Term DisabilityLife & Accidental Death
InsuranceTuition ReimbursementHealth Care/Dependent Care Flexible
Spending AccountsWellness ProgramsVoluntary Benefits (e.g., Pet
Insurance)Discounts Through our Partners such as NJ Devils, NJ PAC,
Verizon, and more!Choosing RWJBarnabas Health! RWJBarnabas Health
is the premier health care destination providing
patient-centered,high-quality academic medicine in a compassionate
and equitable manner, while deliveringa best-in-class work
experience to every member of the team. We honor and appreciate the
privilege of creating and sustaining healthier communities, one
person and one community at a time. As the leading academic health
system in New Jersey, we advance innovative strategies in
high-quality patient care, education, and research to address both
the clinical and social determinants of health. RWJBarnabas Health
aims to truly make a unique impact in local communities throughout
New Jersey. From vastly improving the health of local residents to
creating educational and career opportunities, this combination
greatly benefits the state. We understand the growing and evolving
needs of residents in New Jersey whether that be enhancing the
coordination for treating complex health conditions or improving
community health through local programs and education.Equal
Opportunity Employer
Keywords: RWJBarnabas Health Corporate Services, Greenwich , Senior Analyst (Remote) - Oceanport, NJ, Accounting, Auditing , Oceanport, Connecticut
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