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Medical Economics Analyst, Job Code 4959

11/01/2019 3:21 PM | Anonymous

  • 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

OUR MISSION

To provide educational opportunities and resources to promote professionalism in medical practice management.

OUR VISION

To be the recognized leader in defining and supporting the profession of medical practice management in Colorado.

CONTACT US

Colorado MGMA
P.O. Box 380084
Birmingham, AL 35238-0084
(985) 290-8020