- 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:
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- 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