This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as a Contract Analyst? At Parallon you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
The Contract Analyst is responsible for translating managed care contract terms and modeling relevant parameters within available modeling tools to ensure accurate reimbursement calculations, expected net revenue, and informed strategic pricing decisions. This role supports both operational contract modeling and pre-execution contract pricing by evaluating proposed payer terms, performing financial analyses, and partnering with Payer Contracting and internal stakeholders to optimize reimbursement strategies while maintaining modeling accuracy and compliance.
What you will do in this role:
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Model managed care contracts using available modeling tools.
- Ensure accurate discounts on patient accounts and proper reflection of expected net revenue.
- Complete testing of contract models by service line and document accuracy in modeled results.
- Perform prospective ("what-if") financial modeling to evaluate proposed managed care contract terms and assess their impact on reimbursement, profitability, trends, and other key financial metrics.
- Develop and maintain contract models used to evaluate reimbursement methodologies, support managed care agreements, analyze financial impact, and ensure accurate implementation and ongoing maintenance of contract terms.
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Translate contract language and reimbursement methodologies into accurate system models that support operational reimbursement and contract negotiations.
- Accurately apply service descriptions, service rules, reimbursement logic, and modeling parameters to ensure contract integrity and consistency.
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Perform quality assurance reviews of contract model changes related to rates, factors, and reimbursement methodologies to ensure modeling accuracy, consistency, and compliance with established standards.
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Design, develop, and support ad-hoc analyses and reporting initiatives as assigned by leadership.
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Utilize data mining and reporting tools to fulfill customer requests and support operational and strategic initiatives.
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Monitor the progress of pricing analyses and contract modeling activities, keeping management informed of project status, risks, and outcomes.
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Collaborate with Payer Contracting, Revenue Cycle, Finance, and operational stakeholders to resolve contract questions and provide analytical support during contract negotiations and implementation.
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Develop responsive relationships with internal customers by providing timely, accurate analyses and maintaining a high level of customer service.
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Participate in departmental training and professional development opportunities to enhance technical, analytical, and industry knowledge.
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Contribute to continuous process improvement initiatives that increase modeling accuracy, operational efficiency, and reporting capabilities.
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Demonstrate commitment to organizational Mission, Values, and Code of Conduct while producing high-quality, accurate work.
What qualifications you will need:
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Bachelor’s Degree or Undergraduate Degree Required. Equivalent work experience may substitute for education requirements.
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Minimum 1+ years of related experience preferred.
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Working knowledge of managed care contracting, reimbursement methodologies, and contract modeling preferred.
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Experience with Microsoft Office, Excel, relational databases, reporting tools, and contract modeling applications preferred.
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
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Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
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Wellbeing support, including free counseling and referral services
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Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
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Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
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Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
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Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Contract Analyst opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
