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in Rancho Cordova, CA
Contract Analyst - Rancho Cordova, CA
Hours | Full-time, Part-time |
---|---|
Location | RANCHO CORDOVA, CA RANCHO CORDOVA, California |
About this job
Position Description:
You believe data can
help reshape the future, and you find yourself loving the thrill of diving into
challenging analysis. At UnitedHealth Group, you'll find an organization that
will recognize those talents and have lots of growth potential. Here, you will
be empowered, supported and encouraged to use your analysis expertise to help
change the future of health care. Does the challenge intrigue you?
As a key member of the Analyst team, you will be part of UnitedHealth Group's
mission of helping people live healthier lives. As a Contract Analyst, you will
grow and develop as you conduct and manage outcomes of various studies. You
will be challenged to analyze, review, and forecast data for operational and
business planning. As part of this elite team, you will be empowered to impact
the health care system through the analysis and interpretation of data, and
presenting recommendations for business solutions. Join us! There's never been
a better time to do your life's best work.(SM)
Positions in this function are responsible for the setup and maintenance of
managed care contracts in the hospitals' Expected Reimbursement system.
Primary Responsibilities:
- Analysis and setup of
managed care contracts - Development and
execution of test plans - Development and execution
of validation plans - Development and
production of managed care scorecards to demonstration validation and payment
accuracy
Requirements
Required Qualifications:
- 3+ years
experience with hospital reimbursement methodologies - 3+ years
experience with hospital collections or claims adjudication - Bachelor's
degree or HS Diploma/GED plus 5+ years direct hospital managed care analysis or
hospital managed care collections experience
Preferred Qualifications:
- Experience
with automated Expected Reimbursement or Contract Management software systems - Experience/knowledge
in Medicare reimbursement methodology - Experience
querying of working with databases - Experience
writing automated scripts
Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.SM