MedReview is hiring a
Contract Analyst

Summary

The job at MedReview involves providing analysis and managing contracts for healthcare plans. The role requires a detail-oriented individual with experience in claims, health care provider payment methods, and billing configuration. Remote work is an option with specific requirements. Benefits include health insurance, 401(k) with employer match, generous paid time off, wellness programs, learning & development opportunities, and family and sick leave.

Requirements

• Bachelor’s or associate degree
• Detail-oriented, highly organized work skills
• Two plus years of claims, health care provider payment methods and or billing configuration experience
• Extensive knowledge of contract language related to DRG and percentage of billed charges, per diem/case rate payment methodology
• Intermediate level experience with Microsoft Word and Excel
• Experience working with data systems
• Experience with claims data as it pertains to the health care industry
• Ability to build and foster relationships at all levels of the organization
• Demonstrate initiative and performs as a motivated self-starter
• Shows adaptability through handling day-to-day work challenges confidently, willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change, showing resilience in a fast-paced high growth environment

Responsibilities

• Provides analysis of provider contract provisions
• Provides professional advice as a subject matter expert and concisely summarizes in layman terms the results of the contract analytics to other department leaders
• Establishes claim selection criteria based on contract provisions
• Responsible for data entry of key contract elements into our proprietary system
• Monitors and updates contract information in our proprietary system as needed
• Collaborate with other departments to follow the provider build process to ensure all contract elements are documented appropriately
• Identify and reconcile issues related to contract configuration errors within our claim system

Preferred Qualifications

Remote Work Requirements: High speed internet (100 Mbps per person recommended) with secured WIFI. A dedicated workspace with minimal interruptions to protect PHI and HIPAA information. Must be able to sit and use a computer keyboard for extended periods of time

Benefits

• Healthcare that fits your needs
• 401(k) with Employer Match
• Generous Paid Time Off
• Wellness. - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered
• Learning & Development. - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional
• Family and sick leave