Managed Care Analytics & Payer Contracting Specialist

Valley Medical Services Inc; Northern (KY); Hybrid; USD 74,000 - 93,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Group Life Insurance

FSAs & commuter benefits

Disability & Legal Support

Paid holidays & PTO

Retirement Plan

Tuition assistance

EAP

Fitness center discount

Day care discounts

Job summary

Valley Health System is seeking a contract analyst to support payor contracting and analysis across the enterprise. The role involves analyzing claim and denial trends, ensuring contract compliance, and staying current with federal price transparency and No Surprises Act regulations.

The position also serves as a subject matter expert for education on payer policies and industry changes. The role interacts with VMG, Population Health, ColigoCare and other areas for revenue forecasting and

Qualifications

• Bachelor's degree in economics, business administration, health care administration or related field required.
• MBA or MHA degree preferred.

Responsibilities

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

Skills

Analytical skills

Communication skills

Organizational skills

Critical thinking

Education

Bachelor's degree in economics, business administration, health care administration or related

MBA or MHA preferred

Job description

Valley Health System is seeking a contract analyst to support payor contracting and analysis across the enterprise. The role involves analyzing claim and denial trends, ensuring contract compliance, and staying current with federal price transparency and No Surprises Act regulations.

The position also serves as a subject matter expert for education on payer policies and industry changes. The role interacts with VMG, Population Health, ColigoCare and other areas for revenue forecasting and