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11 days
Not Specified
Not Specified
$28.56/hr - $44.64/hr (Estimated)
<p>Qualifications you'll bring:</p> <p>Bachelor's Degree preferred; equivalent experience may be substituted if the candidate can demonstrate significant relevant work experience. Minimum of 5 years in health insurance or equivalent experience in Finance or Project Management. Strong proficiency in problem solving and analysis Ability to use Microsoft Office and Power Point Proficiency in Excel. Must be able to manipulate pivot tables, utilize mathematical formulas, filter data, etc. Excellent presentation skills Proficiency in financial impact analysis Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction</p> <p>Your key responsibilities:</p> <p>Coordinates with Analytics Team to generate performance reporting and associated financial models. Assists Leaders in leveraging of competitive transparency data during contract negotiation and annual performance reviews. Assists with developing contract documents for renewals and/or amendments in compliance with company templates, reimbursement structure standards and other key process controls. Supports the business relationships with Hospital, Physician and Ancillary Facilities. Maintains an inventory of contracts, due dates, term clauses/end dates, spend and services by LOB. Requests necessary data analytics from Informatics to support key business objectives and product objectives where contracting is involved. Keeps and maintains necessary database trackers and a tracking system for department and MVP report outs. Processes forms, tracks and scans signed/executed agreements and amendments. Serves as the primary point of contact for day-to-day issues such as payment issues, authorization issues and contractual language interpretation disputes. Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time. Proactive in identifying areas for efficiency improvement across all of Network Management; consistently challenges the status quo in favor of incremental improvement opportunities that could be achieved through new methods. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.</p> <p>Where you'll be: Location: Hybrid to Schenectady, NY or Fishkill, NY</p>
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