The Managed Care Senior Contract Analyst provides technical and analytical support in the evaluation, negotiation, and maintenance of managed care contracts between Cook County Health & Hospitals System (CCHHS) and state/government payer networks. Works with CCHHS Information Technology (IT) and using data warehouse to develop and design data sets and reports.
Analyzes and summarizes contract performance data demonstrating projected vs actual increase or decrease to revenues, level of denials, underpayments and overpayments.
Monitors and reports changes in reimbursement by contracted payers and understands the impact on Health System's revenues.
Compiles data from various sources; cleans and formats data into meaningful reports, and updates information as needed.
Oversees production, review, and evaluation of managed care payer profile by service/product line.
Bachelor's degree from an accredited college or university (must provide official transcripts at time of interview)
Three (3) years of healthcare finance/managed care reimbursement experience (is required)
One (1) year of experience operational reporting/contract analysis (is required)
Intermediate skill in the use of Microsoft Excel, i.e. generating spreadsheets (is required)
Bachelor's degree in Finance, Accounting or related field or higher from an accredited college or university
Experience in database and data analysis technology, i.e. Crystal Reports, SQL
Knowledge, Skills, Abilities and Other Characteristics
Knowledge of cash handling operations
Strong verbal and written skills necessary to communicate complex technical concepts in a clear, concise manner to a wide level of personnel
Strong customer service skills with a strong response time to phone calls, emails, and customer requests
Strong interpersonal and problem solving skills
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question,
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER