CONTRACT SUPPORT

Prominence Health; Reno (NV); On-site; USD 60,000 - 85,000; Full time

Job summary

Prominence Health in Reno, NV seeks a Contract Support Analyst to administer provider agreements and support contract resolution related to claims and system set-up.

The role requires experience in healthcare contracting, ability to analyze fee schedules, and collaboration with multiple departments to resolve disputes. Strong communication and MS Office proficiency are essential for success.

Qualifications

• Must have experience in healthcare provider contracting and data handling.
• Ability to analyze and interpret provider contracts and fee schedules.
• Strong communication skills and proficiency with Microsoft Office.

Responsibilities

• Administer and implement provider agreements to ensure terms and conditions are met.
• Analyze fee schedules and provider contracts to support claim decisions and system setup.
• Audit contract builds and maintain the system as agreements renew or are executed.

Skills

Provider contracting

Fee schedule analysis

Communication skills

MS Office

Independent work

Education

Bachelor’s degree in business administration

Bachelor’s degree in health services

High School Graduate

Technical School/1 Year College

Tools

QNXT

Impact

Claims processing applications

Job description

Job Summary

Under direction of the Contract Manager the Contract Support Analyst is responsible for administration and implementation of provider agreements to ensure parties comply with terms and condition of such agreements. This position serves as the point of contact for the Contracting Department and requires an in-depth knowledge and understanding of provider contracting. The ability to analyze and interpret fee schedules and provider contracts in order to assist with contract resolution as it relates to claim payment and system set-up. To the extent necessary, this position will work with different departments and personnel to accomplish resolution to contract/claim disputes. This position is responsible for auditing of contract builds and maintenance of the system as agreements renew and new agreements are executed. Experience in the healthcare field with a focus on provider/contracting data is essential.

Qualifications and Requirements

• High School Graduate/Equivalent


• Technical School/1 Year College


• Bachelor’s Degree, preferred


• Bachelor’s degree in business administration or health services preferred. Education may be substituted for equivalent years of experience.


• Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations required


• Ability to effectively communicate in English, both verbally and in writing.


• Proficient in Microsoft Office skills (Excel, Word, Access,etc.)


• Enjoys working in both individual and team settings


• Must be able to work independently; providing management with status updates


• Multi-task; establish priorities


• Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment


• Good communication and relationship skills


• Strong analytical skills


• Attention to detail


• Experience in working with QNXT, Impact and/or any claim processing application is preferred

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.