Managed Care Pricing & Contract Specialist II - Market Relations - Southwestern Health Resources

Managed Care Pricing & Contract Specialist II - Market Relations - Southwestern Health Resources

Southwestern Health Resources is looking for a highly skilled Managed Care Pricing & Contract Specialist II Is that you?

Work Location: Southwestern Health Resources Headquarters, Hybrid: 1601 Lyndon B.

Johnson Freeway, Farmers Branch, TX 75234.

Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:


* Hybrid Position


* Gain a sense of accomplishment by contributing to a teamwork environment.


* Receive excellent mentorship, comprehensive training, and dedicated leadership resources.


* Contribute and work on a cross functional team

What You Will Do:

Manage the analytics of assigned commercial payers.

This includes developing and modeling commercial reimbursement proposals for hospitals and behavioral health centers with guidance from leadership.

40%
Review transparency data and evaluate for negotiation strategy.

30%
Assist parent companies with projects as it relates to reimbursement.

30%

What You Need:

Education
Bachelor's Degree Business, Math, Finance or related field Req

Experience
3 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies.

Req and
1 Year Understanding of Hospital Billing Req

EducationBachelor's Degree Business, Math, Finance or related field Req

Experience3 Years Decision support or financial analysis to include SQL or relational database experience and/or reimbursement methodologies.

Req and
1 Year Understanding of Hospital Billing Req

SkillsStrong math and computer aptitudes are needed in order to understand and model complex structures and relationships.
Effective communication and presentation skills.
Must be highly knowledgeable of hospital coding systems.

SupervisionIndividual Contributor

ADA RequirementsWorking Indoors 67% or more

Physical DemandsSedentary