Managed Care Analyst, Financial Admin, Full Time, Day

Valley Health System (New Jersey); Paramus (NJ); On-site; USD 74,000 - 93,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision discount program

Life Insurance & AD&D

FSAs & commuter benefits

Voluntary benefits

Paid holidays

Job summary

Valley Health System is seeking a contract analyst to support payor contracting initiatives and analyze claim/denial trends. The role involves oversight of payer contract compliance and serves as a key resource on regulatory developments affecting the no surprises act and price transparency rules.

The ideal candidate has a bachelor’s degree in economics, business administration, health care administration, or related field, with at least two years in payor/provider contracting. MBA/MHA preferred.

Qualifications

• Bachelor's degree in economics, business administration, health care administration or related subject is required.
• MBA or MHA degree preferred.
• A minimum of two years' experience with payor or provider contracting in a health care setting, knowledge of the healthcare industry and payor reimbursement methodologies.

Responsibilities

• Support activities of payor contracting and analysis for the Valley Health System.
• Assist with enterprise-wide managed care contracting initiatives through analysis of claim and denial/payment trends.
• Provide oversight of payer contract compliance for the system.

Skills

Analytical skills

Communication

Interpersonal skills

Written communication

Organizational skills

Critical thinking

Education

Bachelor's degree in economics

Bachelor's degree in business administration

Bachelor's degree in health care administration

MBA or MHA preferred

Job description

POSITION SUMMARY:This position supports activities of payor contracting and analysis for the Valley Health System. This position assists with enterprise-wide managed care contracting initiatives through analysis of claim and denial/payment trends and provides oversight of payer contract compliance for the system. This position is also a key resource to system stakeholders on new regulatory and legislative developments pertaining to the Federal Price Transparency and the No Surprises Act legislations. The position provides analytical support to other areas within the system (VMG, Population Health, ColigoCare, etc.) as it pertains to revenue forecasting, contract modeling, denial and payment variance analysis and trends. This position also serves as a one of the key subject matter experts for the system for any education related to insurance industry changes, managed care regulation, and impactful payer policies/protocol changes.EDUCATION:Bachelor's degree in economics, business administration, health care administration or related subject is required. MBA or MHA degree preferred.EXPERIENCE:A minimum of two years' experience with payor or provider contracting in a health care setting, knowledge of the healthcare industry and payor reimbursement methodologiesSPECIAL SKILLS:Excellent analytical skills, with attention to detail and accuracy required. Strong communication and interpersonal skills required. Excellent written, organizational, and critical thinking skills required.Job LocationKraft CenterShiftDay (United States of America)BenefitsMedical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)Group Term Life Insurance and AD&D(Full Time Employees)Flexible Spending Accounts and Commuter Benefit PlansSupplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended IllnessRetirement PlanTuition AssistanceEmployee Assistance Program (EAP)Valley Health LifeStyles Fitness Center Membership DiscountDay Care Discounts for Various Daycare FacilitiesSalaryJoining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.Pay Range: $74,214.40 - $92,768.00The posted pay range reflects the compensation for a full-time equivalent (1.0 FTE)EEO StatementValley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.