Senior Analyst, Network Relations (Remote Eligible)
Company: Kootenai Health
Location: Coeur D Alene
Posted on: November 21, 2022
Job Description:
About the JobResponsible for payer contract modeling and
contract performance for Kootenai Health and Kootenai Care Network
with focus related to traditional contracting reimbursement while
transitioning to value based contracting methodologies.
Responsibilities:
Responsible for payer relationship
management, contract terms and conditions supported by pricing
strategy, analytics, and impact plansWorks with all hospital and
clinic departments to evaluate payer contracting needs and issues;
develops plans to service the needs and communicate solutions to
internal customersCoordinates communication between hospital and
clinic departments and payers for problem resolution, issue
solutions, and relationship buildingDirects payer contract
negotiations with input from leadership of Kootenai Health and
Kootenai Care Network in support of reimbursement and population
health initiativesPerforms analysis and modeling for contract
negotiations, performance, population health financial modeling,
report production, and database managementWorks with various report
formats to synthesize information conciselyLeads specific
department and inter-departmental projects including billing
support and payer specific denials reduction projectsMaintains
knowledge of commercial and government reimbursement models and
regulations, concepts, practices and procedures and their impact on
paymentsFamiliar with standard concepts, practices, and procedures
within the fieldRelies on experience and judgment to plan and
accomplish goalsRegular and predictable attendance is an essential
job functionCompetent to meet age specific needs of the unit
assignedPerforms other related duties as assignedFull-time -Exempt
Minimum Qualifications
Bachelor s in finance, accounting,
business or healthcare related field required; Master s degree
preferred
Minimum 5 years relevant experience
required
Previous experience in payer contract
negotiation, coding, billing and Accounts Receivable basics
required
Excellent analytical skills and
ability to manipulate large data sets from multiple systems
Familiarity with current common
coding practices including CPT4, ICD9CM, and DRGs as well as
current Medicare reimbursement methodologies and quality
initiatives
Knowledge of pricing, healthcare
finance, managed care, provider incentives, and risk contracting
required Working Conditions:
Must be able to maintain a sitting
positionTypical equipment used in an office jobRepetitive movements
About Kootenai HealthKootenai Health is a highly esteemed health
care organization, serving patients throughout northern Idaho and
the Inland Northwest. We pride ourselves on our outstanding
reputation as both an employer and a health care provider. We have
been recognized with many accolades and distinctions including
being recognized as a Gallup Great Workplace, No. 1 Best Place to
Work in Large Healthcare Organizations, and Magnet Status for
Nursing Excellence. We are a proud member of the highly regarded
Mayo Clinical Care Network, giving us access to a wealth of
knowledge and expertise.As your next employer, we are excited to
offer you:
100% employer-paid health insurance
premiums for full-time employees. Part-time employees pay only a
small portion a month for medical, dental, and vision coverage.
Benefits start 1st of the month following 30 days of employmentA
tuition assistance program available after 90 days. If you want to
further your education, we'll help you pay for itKootenai Health
will match your contributions in a defined contribution 457
retirement plan based on years of service ranging from 3-6 percent.
Kootenai Health will contribute an amount equal to two percent of
your gross earningsCompetitive salaries with night, weekend and PRN
shift differentialsAn award-winning and incentive-driven wellness
program. Including a MyHealth corporate team, onsite financial
seminars and coaching Employees receive discounts at The Wellness
Bar, PEAK Fitness, various cell phone carriers, and moreRobust and
interactive employee bonus program, utilize our mobile ERIN app to
alert employees to new positions, make referrals and track your
bonusesAnd much moreIf you strive to be an integral part of a high
quality health care system like Kootenai Health, we want to meet
you!Apply today! Please reach out to Recruiter or Front Desk with
any questions. Kootenai Health complies with applicable federal
civil rights laws and does not discriminate on the basis of race,
color, national origin, age, disability, veteran status, or sex.
Kootenai Health does not exclude people or treat them differently
because of race, color, national origin, age, disability, veteran
status, or sex.Schedule: Full Time,Days
Keywords: Kootenai Health, Coeur d'Alene , Senior Analyst, Network Relations (Remote Eligible), Professions , Coeur D Alene, Idaho
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