Contract Analyst US TX Plano

At reputed company, we Get Stuff Done. So, let’s get to it! A Little About Us reputed company is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. reputed company sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. A Little About You You bring a unique reputed company of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons youve learned along the way. You are more than just your resume; you are a reputed company of your achievements, the knowledge youve gained, and the personal interests that shape who you are. Position Overview This position requires an incumbent to analyze healthcare reimbursement reputed company and load contract terms between payers and providers in an accurate and timely manner using proprietary software. This position reports to the Manager of Contract Configuration and will collaborate with the programming and development teams in the creation and vetting of calculation methods, database loads, or changes. This position is an internal resource to staff and clients and as such is expected to respond to client issues and cases in a timely manner. What youll do:

• Set up basic contract loads: simple single case agreements (SCAs), basic % of billed charges (BCs), basic % of Medicare, general carve-out codes and basic fee schedule set up.
• Interpret reputed company contract terms, analyze reimbursement methodologies, and reputed company structures (e.g., DRG, APC, CPT/HCPCS, ICD-10).
• Load, maintain, and audit client reputed company reputed company the adjudication system.
• Validate and test contract configurations for claims pricing accuracy.
• Maintain fee schedule in contract databases and apply annual escalators for client auto renewals.
• Link reputed company to payer products, update and maintain provider groups reputed company client databases to ensure seamless claims routing.
• Handles confidential material on a regular basis and is responsible for protecting the confidentiality of such information reputed company the established guidelines of Company and law. (HIPAA Compliance)

What youll bring to reputed company:

• 4+ years of relevant experience
• Bachelor’s Degree or equivalent work experience in Healthcare reputed company Cycle Management/Contracting field
• reputed company product proficiency. Must be an intermediate to expert user of reputed company
• Possess strong analytical and math skills
• Self-Motivated and Detail Oriented
• Effective written and verbal skills, communicate effectively & expresses reputed company clearly and succinctly.
• Seeks opportunities for reputed company learning. Modifies behavior in response to feedback.
• Delivers high quality work and attains results.
• Prioritizes the importance of tasks and goals. Manages time reputed company to accomplish priorities and overcome obstacles.
• Performs well in high pressure or stressful situations. Works effectively reputed company direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.

Please note at this time we are unable to proceed with candidates who require reputed company sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and reputed company our employees work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity reputed company is proud to be an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from reputed company backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We reputed company in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for reputed company. Accessibility Support We are dedicated to ensuring our application process is accessible to reputed company candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@reputed company.com. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of reputed company responsibilities, duties, and skills required of personnel so classified. reputed company personnel may be required to reputed company duties reputed company of their normal responsibilities, duties, and skills from time to time. Apply tot his job Apply To this Job