Note: The job is a remote job and is open to candidates in USA. St. Jude Children's Research Hospital is seeking a Senior Managed Care Contracts Analyst to support their mission by leading the evaluation, analysis, negotiation, and monitoring of contract rates and terms. The role involves managing high-impact contracts, contributing to Managed Care contracting initiatives, and strengthening provider relationships.
Responsibilities
• Contribute to the creation of complex financial models; perform scenario analyses of payor reimbursement using patient data and contract terms
• Lead analysis of all current and future payor contract terms
• Perform validation and organize patient information for contract models
• Monitor and analyze variances between negotiated contract payment terms and contract performance; ensure actual reimbursement is consistent with expected payment calculations
• Develop summary presentations, report findings of collection issues and provide alternative recommendations to senior leadership for future contract terms or methodologies
• Monitor financial performance, and gathering information to recommend changes to managed healthcare programs
• Train and mentor team members to meet the comprehensive fiscal objectives at St. Jude while complying with policies and procedures
• Perform other duties as assigned to meet the goals and objectives of the department and institution
• Maintains regular and predictable attendance
Skills
• Bachelor's degree (e.g., Business Administration, Information Services) or any health related field of study required
• Minimum Requirement: 4+ years of experience; proven experience with managed care contracting required
• Strong experience with the financial aspects of various payment mechanisms within managed care
• Experience working with cross-functional teams
• Proven performance in earlier role
Company Overview
• St. It was founded in 1962, and is headquartered in Memphis, Tennessee, USA, with a workforce of 5001-10000 employees. Its website is http://stjude.org.