• Managed Care Analyst

    Requisition ID
    2018-13082
    Shift
    Day
    Category
    Finance
    Shift Hours AM/PM
    Flexible
    Department
    SJ MANAGED CARE
    Position Type
    Regular Full-Time
  • Overview

    Overview

    St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

     

    Job Overview

     

    Supports all responsibilities for the managed care contracting effort including maintenance of the Contract Management System, implementation and monitoring of managed care contracts, analysis of current and proposed managed care rates, and review of payment errors and denial trends.

     

    Qualifications

    • Bachelor's Degree in Finance or related field
    • Two to three years of previous work related experience in managed care/revenue cycle analytics.
    • Knowledge of payer/insurance company practices as well as knowledge of the hospital environment
    • Experience in the negotiation and management of managed care contracts and state and regulatory HMO (Health Maintenance Organization) guidelines.
    • Proficient in the use of Microsoft Word, Excel, Power Point, and Access, as well as database query and reporting skills.
    • Knowledge and proficiency of Siemens Soarian Financials system a major plus. 

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