- Communication Skills
- Managed Care
- Financial Analysis
- Utilization Review
- Microsoft Office
** multiple positions available **
Summary: Under the guidance of the Director Payor Contracting, this position is responsible for facility contracting or professional provider contracting with all third party payors including Commercial, Medicare Advantage, Managed Medicaid, and ministry-based payors. Coordinates and implements Parkview Health's third party payor contracting strategy including contract negotiations, implementation, financial analysis, reporting and education of all impacted parties.
Experience: Must have three years direct experience in managed care negotiations for ancillary and either hospital or physician group facilities. Must demonstrate strong knowledge of contract language and reimbursement methodologies for all payor types including but not limited to commercial governmental and workers compensation. Must possess a sound understanding of ancillary and either hospital or physician group business operations including but not limited to claims coding billing reimbursement collections and utilization review processes. Must have strong experience in Microsoft Office products. Must have knowledge of insurance market and payor product platforms. Must demonstrate reliable skill in statistical analysis either through education or experience. Must demonstrate the ability to independently and efficiently manage multiple and varied tasks. Must have good verbal and written communication skills.
Location: Parkview Health · Payor Contracting
Schedule: Full Time Benefit Eligible, Days, M-F