Contracts & Financial Analyst - Veterans Affairs & Workers

Position: Contracts & Financial Analyst - Veterans Affairs & Workers' Compensation
## Contracts & Financial Analyst - Veterans Affairs & Workers' Compensation Apply remote type:
Hybrid locations:
Mercy Medical Center time type:
Full time posted on:
Posted Yesterday job requisition :
JR104509
** Do you consider yourself a great negotiator while displaying the Mercy Touch? If so, look no further!!
**** This exciting position is Monday through Friday with some travel involved with some days in the office and other days remote
**** One must live 75 miles or less from Mercy Medical Center's Main Campus
**** Work Shift
** Day
* * Scheduled Weekly Hours
** 40
* * Summary
* * This position supports Mercy’s philosophy of patient centered care by having responsibility for the strategic management, negotiation, and financial evaluation of Workers’ Compensation contracts with insurance carriers, third-party administrators (TPAs), employers, and governmental entities. This role ensures contractual compliance, financial viability, and optimization of reimbursement while supporting organizational goals related to revenue integrity, regulatory compliance, and employer relations.
This position will also have Insurance Specialist duties of claims processing from pre-registration, obtaining authorization, billing insurance and the patient, and providing timely follow-up on billing issues and denials.
** Job Description
**** Contracts and Financial Analyst**###
** Contract Negotiation & Management
*** Leads the negotiation, drafting, and execution of Workers’ Compensation contracts with carriers, TPAs, employers, and other stakeholders.
* Evaluates contract terms including fee schedules, reimbursement methodologies, carve-outs, escalation clauses, and payment timelines.
* Ensures all contracts comply with applicable state Workers’ Compensation statutes, fee schedules, and regulations.
* Maintains executed agreements and payment commitment documentation within designated contract management systems.### ###
** Financial Analysis & Reporting
*** Performs detailed financial analyses of Workers’ Compensation contracts, including reimbursement modeling, margin analysis, and underpayment trends.
* Assess financial performance against contracted rates and identify variance, denial, and underpayment risks.
* Prepares financial summaries and executive-level reports to support decision-making.
* Presents findings and recommendations to revenue cycle leadership.### ###
** Program Oversight & Compliance
*** Oversees the Workers’ Compensation billing and reimbursement lifecycle, ensuring claims are billed accurately and paid according to contract terms.
* Serves as a subject matter expert on Workers’ Compensation reimbursement, state fee schedules, and regulatory changes.
* Monitors legislative, regulatory, and market changes impacting Workers’ Compensation and employer-based reimbursement.
* Manages disputes, appeals, and escalations with carriers, employers, and state agencies as needed.
* Monitors expiring credentials and facilitate timely renewals.### ###
** Stakeholder Collaboration
*** Collaborates with finance, revenue integrity, compliance, legal, clinical, and operational teams to ensure alignment across the organization.
* Acts as a liaison between internal stakeholders and external payers or employers regarding contractual and financial matters.
* Provides guidance and education related to Workers’ Compensation reimbursement structures and contract interpretation.
** Insurance Specialist
*** Understands and interprets insurance, pre-authorizations, and the specific requirements per insurance payer.
* Performs pre-registration duties requiring good knowledge of hospital programs and procedures.
* Initiates an accurate and complete registration and makes required edits on these registrations.
* Verifies insurance coverage of…