Payer Contract Analyst

Title: Payer Contract Analyst

Location: United States Florida - Remote

Full time

Job Description:

Country:

United States of America

Location:

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

Come join us today!

Summary:

Under the oversight of the Associate Director of Payer Analytics, you will be responsible for a variety of duties relating to analyzing pertinent data from contractual agreements to determine risks in conjunction with applicable standards and guidelines. Develop methods of reviewing, updating, organizing, and analyzing data to provide clear analysis of contract negotiations. This also includes providing analytical support, regular reporting, analysis of revenue related data, accuracy of data, and auditing.

PRIMARY TASKS AND RESPONSIBILITIES:

• Understand, interpret, and apply contractual terms and policies to analysis
• Review contract proposals and seek to improve terms
• Prepare underwriting reports and reviews as requested by management
• Perform underwriting functions in accordance with established standards, guidelines, rates, and coverage
• Review and assess health benefit plan characteristics and evaluate risks
• Plan, organize, and coordinate work assignments
• Provides support via analytical skills and audits related to the Managed Care, Revenue Cycle, Charge Master Maintenance, and Revenue Integrity quality assurance
• Performs other duties and project as assigned

EDUCATION/CERTIFICATIONS & LICENSES:

• Bachelor's degree in mathematics, statistics, finance, or related field

EXPERIENCE:

• Minimum of five (5) years of experience in healthcare or related field
• At least three (3) years of experience with analytics or finance
• At least three (3) years of experience with Excel or equivalent

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:

Essential competencies and KSAs targeted to successfully performing in role:

• Analysis and Critical Thinking with strong mathematical skills
• Strong interpersonal skills to include effective verbal and written communication
• Solid time management with the ability to prioritize multiple tasks
• Ability to collaborate across various levels of management, departments, and teams
• Comfortable negotiating problems and exploring solutions

VALUES:

• Patient First - Keeping the patient at the center of everything we do
• Accountability - Taking responsibility for our actions
• Commitment & Care - Upholding FCS vision through every action
• Team - Working together, one team, one mission

Expectations for all Employees

Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices. Employees are expected to bring issues of any forms of workplace harassment, discrimination, or other potential improprieties to the attention of their management or the human resources department.

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SCREENINGS - Background, drug, and nicotine screens

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.