Payer Contract Modeling Analyst

Elevate Patient Financial Solutions has an exciting career opportunity available as a Payer Contract Modeling Analyst.

The Full Time schedule for this role will be a remote based role.

JOB SUMMARY:

The Payer Contract Modeling Analyst is responsible for all loading, modeling, support, and maintenance of the managed care contracts and fee schedules within the contract management system. This includes contracts for facility, professional, home care, infusion, pharmacy, etc. This position provides key support for the implementation of new and existing clients. The Payer Contract Modeling Analyst is expected to model, support, and operationalize risk-based contracting methodologies and global transplant agreements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Review, interpret, analyze, manage, and negotiate complex agreements and resolve contractual issues.
• Assure accurate data entry of contract specifications and terms into the database and completeness of all contracting processes.
• Must be able to turn data into actionable information in an accurate, reliable, and timely manner.
• Able to successfully manage multiple concurrent projects and deadlines.
• Effectively use various tools to initiate a project, monitor progress, anticipate obstacles and provide concise updates in a timely manner.
• Provide accurate and reliable information to constituents and maintain professional relationships with key contacts.
  
  
  

QUALIFICATIONS AND REQUIREMENTS:

• 2 years’ experience working in provider reimbursement and analysis, data/contract analysis and data mining or statistics in the healthcare industry.
• Computer skills with proficient knowledge of spreadsheet/graphics software, presentation software, database software, and report writer software.
• Possess experience with contract modeling and contract management systems and have a working knowledge and understanding of managed health care contracts.
• Possess strong financial analysis skills and project management skills.
• Ability to stay organized while managing multiple projects and data.
• Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.
  
  
  

Benefits:

ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles
  
  
  

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer