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Home Accounting Conceptual-thinking-Contract-Modeler-with-Healthcare-Experience

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 Conceptual-thinking Contract Modeler with Healthcare Experience

Country: USA
Location: Mobile AL
Total applied: 40

Base Pay:N/A

Other Pay:
Commensurate with ExperienceEmployee Type:Full-Time Employee

Industry:Healthcare - Health Services Insurance

Manages Others:no
Conceptual-thinking Contract Modeler with Healthcare Experience

We are seeking a Contract Modeler to be a member of our Revenue Cycle Management Team. You will have responsibility for overseeing and coordinating HIM initiatives and HIM department operations for our client hospitals. You will be charged with maintaining responsibility for modeling managed care contracts for supported facilities. To be successful, you must be able to conceptualize analytical approaches, manipulate and analyze data and provide decision support to all levels of hospital management.

Company Overview:
As an industry leader in offering complete managed care services to hospitals nationwide, we significantly improve the financial results for providers while simultaneously strengthening provider and patient-community relationships. Taking over responsibility for the people, process and technology associated with a hospital’s revenue cycle, we significantly impact our client’s bottom line. Through the passion and strength of our employee base, leading technology and overall process improvements, we are experiencing rapid growth and currently have 20 hospitals under management.

Essential Job Functions – what you will be doing:
Review the month-end managed care contractual accrual process and periodically
tests the reasonableness of the accrual recorded by the facilities.
Utilize a fully-integrated, client server environment designed
specifically for healthcare facilities to provide: detail benefit analysis of hospital
services, managed care contract evaluation, physician profiling, managed care
contract accrual and performance analysis and utilization reporting.
Coordinate the implementation and maintenance of the managed care contract
modeling application for facilities supported by the corporate office.
Coordinate the modeling of all managed care contract terms in appropriate systems
timely and in accordance with applicable policies and procedures.
Assist patient financial services and facility management in the development of and monitoring adherence to policies and procedures for contract modeling, discrepancy reporting, and month-end accruals.
Provide feedback to key individuals related to managed care terms supported by the current contract modeling applications.
Manage the consultant/client relationship of third party vendors to monitor consulting efficiencies.

Advantages of working for our company:
Excellent opportunity to join a growing company in early stages
Management team has been established from select group of leading professionals with experience ranging from large professional services organizations to leading healthcare firms
Opportunity to make significant improvements within each hospital that you work with
Positions require the ability to work out of Buffalo, NY; Nashville, TN, Chicago, IL/ Detroit, MI– you will be provided with an housing and travel expenses. Typically you will arrive on Monday morning with a Thursday evening Departure.

Required Experience:
Degree in Accounting, Finance or Business (MBA preferred) or equivalent experience
3-5 years healthcare finance/accounting (managed care contract analysis and/or decision support)
Extensive communication and presentation skills
Excellent computer skills, excel, word, and database administration.

Applicant Submission Process:
Please forward your Resume and contact information – including cell phone and best time to contact you to:
Name: Katharine Rocco
Email: [Click here for email]
Phone: 781-425-5550 ext. 210

CANDIDATES WITHOUT A RESUME: If you are interested in learning more about this opportunity either forward your contact information along with a brief description of yourself to: [Click here for email] or contact us by phone at 781-425-5550 or 866-933-9494 to schedule a time to speak.

All resumes and information provided will be reviewed and qualified candidates will be contacted promptly for additional evaluation.

Talent Retriever LLC has been retained by our client to conduct the initial stages of the recruiting cycle. Talent Retriever is not a staffing agency and will not distribute your information to anyone other than the client specified in this position. The information you provide will become the property of our client and will be kept confidential.

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