Remote Contract Analyst

Summary

Join MedReview's team to bring accuracy, accountability, and clinical excellence to healthcare by providing analysis and monitoring processes related to health plan contracts. As a subject matter expert, you'll provide professional advice and summarize contract analytics to department leaders.

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
• Detail-oriented, highly organized work skills
• 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

Benefits

• Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents
• 401(k) with Employer Match
• Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays
• 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