Managed Care Pricing & Contract Specialist II - Market Relations

Managed Care Pricing & Contract Specialist II - Market Relations - Southwestern Health Resources

Managed Care Pricing & Contract Specialist II - Market Relations - Southwestern Health Resources

Southwestern Health Resources is looking for a highly skilled Managed Care Pricing & Contract Specialist II. Is that you?

Work Hours:

Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

• Hybrid Position
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
• Contribute and work on a cross functional team

What You Will Do:

• 40% Manage the analytics of assigned commercial payers. This includes developing and modeling commercial reimbursement proposals for hospitals and behavioral health centers with guidance from leadership.
• 30% Review transparency data and evaluate for negotiation strategy.
• 30% Assist parent companies with projects as it relates to reimbursement.

What You Need:

Education: Bachelor's Degree Business, Math, Finance or related field (Required)

Experience: 3 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies (Required). 1 Year Understanding of Hospital Billing (Required).

Skills: Strong math and computer aptitudes are needed to understand and model complex structures and relationships. Effective communication and presentation skills. Must be highly knowledgeable of hospital coding systems.

Supervision: Individual Contributor

ADA Requirements: Working Indoors 67% or more

Physical Demands: Sedentary

Additional Information

• Job Field:
  Support Services
• Shift: Day Job
• Schedule:
  
  Full-time