Managed Care Systems Analyst

Greenville Health System Greenville , SC 29617

Posted 2 weeks ago

Bilingual (Spanish / English) candidates are encouraged to apply.

Requisition # 43263

Employment Type Full-time

Job Class

NON CLINICAL PROFESSIONAL

FLSA

Exempt

Job Summary

The Managed Care Systems Analyst is responsible for the successful maintenance of the third party payer contract management software. The Analyst will work with third party payers, managed care staff and IS personnel in various aspects of software maintenance, focusing on contract loading and daily reconciliation of system data files. Directly supports Manager with identifying and resolving payer issues by researching, analyzing, and presenting financial information regarding the reimbursement trends affecting Greenville Health System. This includes compilation of rate data for managed care contract rate modeling and negotiations and contract compliance monitoring.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

Bachelor's Degree

  • Prefer in Technical, Finance, or Business

(Computer Science or Information Systems a plus)

Minimum Experience
5 years

  • Health care collections, billing and/or Patient Financial Services experience including healthcare related systems software experience.

Required Certifications/Registrations/Licenses

NOT APPLICABLE

Specific Acceptable Credentials (if applicable)

N/A

In lieu of the Above Minimum Requirements

High School and 8 years related experience.

Other Required Experience

Advanced Access

  • Preferred

Understanding/experience in healthcare/nursing industry, preferably in training and implementation of contract management systems a plus.

  • Preferred

Position Posting Category

Non Clinical Professional/Technical


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Managed Care Contract Analyst

Greenville Health System

Posted 2 weeks ago

VIEW JOBS 4/3/2019 12:00:00 AM 2019-07-02T00:00 Bilingual (Spanish / English) candidates are encouraged to apply. Requisition # 43264 Employment Type Full-time Job Class NON CLINICAL PROFESSIONAL FLSA Exempt Job Summary Coordinate system-wide hospital and physician services contracting, including but not limited to, strategy formulation, contract terms and contract performance. Coordinate the implementation, presentation and servicing of all contracts for the entire system. Provides system wide managed care education and communication. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education Bachelor's Degree Minimum Experience 5 years- Managed-care experience, preferably in a contracting or provider relations role. Required Certifications/Registrations/Licenses NOT APPLICABLE Specific Acceptable Credentials (if applicable) N/A In lieu of the Above Minimum Requirements In lieu of manage care experience, fie years experience in healthcare administration, health insurance, or provider contracting. Other Required Experience Knowledge of the health-insurance industry, specifically managed-care contracting operations and negotiation techniques- Required Position Posting Category Greenville Health System Greenville SC

Managed Care Systems Analyst

Greenville Health System