This is a full-time, exempt/salary position based in Denver, CO. Maintains predictive models to calculate expected reimbursement, per contracts. Provides analysis of contract performance and evaluates contract proposals. Works closely with staff to ensure contract compliance.
* Create and maintain predictive contract models in our billing system and our decision support system. These models calculate the expected reimbursement, per the hospital contracts with the payer.
* Analyze contract performance relative to costs, to the contract terms, and to other payers.
* Analyze contract proposals from payers, using the decision support system as the source of information.
* Work collaboratively with Payer Relations and Business Services staff to ensure contract compliance.
Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration
3 years of related experience
* Healthcare experience
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Internal Number: 1044
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