Senior Analyst, System Pricing

This is a fully remote position, open to applicants in Montana, +4 more states.

📋 Description

• Accountable for the development of system pricing.

• Provide support for the financial analysis and performance functions related to contracts.

• Coordinate requests for internal and external audits.

• Execute routine and ad hoc reporting tasks.

• Maintain a thorough understanding of provider contracts.

⛳️ Requirements

• Bachelor’s Degree in Finance, Accounting, or Mathematics with 6 years of experience in the Health Care Industry OR 8 years of relevant experience.

• 6 years of experience in interpreting provider contracts and system requirements.

• 6 years of experience in a managed care healthcare setting.

• 5 years of experience with claims adjudication and pricing systems: Blue Chip, MHS, or HMO systems.

• Familiarity with CPT, HCPCS, ICD10, Revenue codes, and/or DRG coding practices, as well as Relative Value Units, Anesthesia, Durable Medical Equipment, and other methodologies to support current and future pricing scenarios.

• Ability to adapt to changing priorities and workloads while meeting deadlines.

• Proficiency in PC use, including all Microsoft Office products.

🏝️ Benefits

• Health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Additional incentives.