JOB REQUIREMENTS: Description The Reimbursement and Incentives Analyst
III will be responsible for supporting both the fee schedule development
and implementation processes for the fee schedule team. The analyst will
work to document processes, dependencies, and tools to maintain
Medica\'s provider fee schedules and work with stakeholders on
identifying refinement opportunities. Additionally, the analyst will be
responsible for supporting contract model data inputs, stewardship of
provider finance data, and working with stakeholders to identify
opportunities to improve model functionality, efficiency, and accuracy.
The analyst will assist in the successful operation of the fee schedule
team. This individual ensures that processes and policies are followed
to produce high quality results. The analyst proactively engages on
identified opportunities and facilitates solutions with various
stakeholders. In the Reimbursement and Incentives Analyst III role, the
analyst has basic knowledge and skills with claims adjudication,
contract administration, financial modeling, and Medicare/Medicaid &
Ancillary reimbursement methodologies, but in most cases a fair amount
of initial training from senior staff is required. Advancement is
recognized for individuals who demonstrate accomplishments in analytical
capabilities, development in the knowledge base of their focus, and
decreased need for guidance and direction for completing projects.
Additionally, exceeding expectations regarding day-to-day as well as
major projects is also typical for advancement as well as demonstration
of leadership skills. Qualifications: Bachelor\'s degree or equivalent
combination of education and experience 5 years of experience working in
Healthcare OR Healthcare Payer required Healthcare reimbursement
experience preferred Key Responsibilities: Fee schedule development and
implementation including uploading new fee schedules, tracking fee
schedule activity, and facilitating fee schedule provider renewal
impacts and coding updates. Documenting processes, dependencies, and
tools to maintain fee schedules in Medica\'s provider reimbursement
payment platforms. Knowledge with Ancillary reimbursement including:
Home Health Care, Durable Medical Equipment, Home Infusion Therapy, etc.
Support provider contract modeling solutions and contract modeling
inputs including but not limited to Datapac inputs. Work together with
key stakeholders to optimize Medica\'s provider negotiation model
process through the promotion of refinements to improve model
functionality, efficiency, and accuracy. Promotes and participates in
efforts focused on data stewardship and best practices Provide support
to expansion growth on the Medicare/Medicaid initiatives as a subject
matter expert. This may include locality based payments, regulatory
pricing and reimbursement changes, and development of fee... For full
info follow application link. Equal Opportunity Employer including
Veterans and Disabled Individuals ***** APPLICATION INSTRUCTIONS:
Apply Online: ipc.us/t/EB5B40A3E6A54776