Payer Contracting Analyst
Intermountain Healthcare - Salt Lake City, UT

This job posting is no longer available on Intermountain Healthcare. Find similar jobs: Payer Contracting Analyst jobs - Intermountain Healthcare jobs

This position assists in the editing, amending, updating, execution, and maintenance of all Payer Contracting contracts and amendments to ensure that all provisions accurately reflect negotiated terms. Coordinates contract implementation with all affected parties at Intermountain Healthcare. Under direction of the Senior Contract Analyst or Account Manager, the Contract Analyst also responds to payer inquiries and maintains a database of contracts, following processes, and tracking contracts as requested by the department.

Job Essentials:
Contract Process/Coordination/Implementation: Ensures that all contracts are properly drafted and executed. Responsible for drafting and finalizing contract language. Under Account Manager supervision, provides routine updating and renewal of contracts and amends the terms as circumstances arise. Documents terms that have been negotiated and written by the Account Manager. Under Account Manager supervision, ensures that contract provisions and correspondence are drafted in a manner consistent with Intermountain standards and policies. In coordination with the Account Manager, updates contract language when it becomes outdated and keeps all provisions current. Monitors payer contract compliance. Procures relevant information from payers to be included in contracts.

Maintains a database of all contracts, following processes, and tracking contracts as requested by the department. Effectively coordinates with all affected parties at Intermountain to ensure that their interests are addressed in the contracts.

Respond to Payer Inquiries: Possesses a working knowledge of the contracting process between Intermountain and payers. Knows and communicates Intermountain policies and procedures to payers under Account Manager supervision. Provides prompt and superior customer service when responding to payer inquiries and follows-up on outstanding issues.

Coordinates with Account Managers: Responds to payer inquiries and ensures that contracts are properly implemented, adhered to and serviced. Disseminates information of newly signed or amended contracts to all affected parties at Intermountain. Responsible for attending meetings with the Account Managers and departmental staff as requested.

Constructing Contracts, Amendments, Etc.: Creates quality documents in accordance with department templates, standards and Intermountain policy.

A ssumes responsibility for monitoring and tracking various and ongoing department projects, tasks and initiatives.

Minimum Requirements

Bachelor’s Degree; Education is verified and degree must be obtained through an accredited institution

Two years professional experience working in a professional / legal / compliance support position requiring extensive writing, analysis and customer service

Experience using / understanding of legal terms and principles

Two years experience in the health care industry or health insurance industry

Experience using word processing, spreadsheet, database, internet and e-mail and scheduling applications

Physical Requirements

Seeing, speaking, hearing / listening, manual dexterity

Preferred Qualifications

Experience using medical terminology

Experience in a corporate / legal setting

HIAA I & II Certification

Please Note
All positions subject to close without notice
Intermountain Healthcare is an equal opportunity employer M/F/D/V

Intermountain Healthcare - 2 years ago - save job
About this company
174 reviews
Intermountain Healthcare is an internationally recognized system of 22 hospitals and a full range of medical services, multi-specialty...