Managed Care Revenue & Contract Analyst

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

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.