• Organization Name: Centura Health, Payor Relations & Contracting
• Date Needed: as soon as available
• City: Centennial
• Type of Position: Part-Time/Full Time – Full Time
• Experience Requirement: Undergraduate degree preferred in mathematics, finance, economics or actuarial 
• Description & Details:
• • Designs payor fee schedules for contract building and maintenance
  • Researches and analyzes physician reimbursement, claims and coding data from various system tools. 
  • Ability to pull ad-hoc data queries and then summarize and interpret results
  • Understanding and troubleshooting of payer mapping, provider entities and provider types for on-going system maintenance
  • and payor contract profiles
  • Ensure timely loading of fee schedules and proper interpretation of rate exhibit contact language
  • Audits fee schedules regularly and prior to movement into production
  • Studies reimbursement methods, such as RBRVS, CMS, HCPCS, carve outs and case rates

https://external-centura.icims.com/jobs/15477/medical-economics-analyst/job