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Revenue Integrity Analyst Job
Job Number: LCS17042
Job Title: Revenue Integrity Analyst
Department: Contracting - 0014621
Facility: Corporate Headquarters
Location: Providence, RI
Bachelor’s Degree in Business, Finance, Health Administration or related field.
Four to six years of experience in healthcare with a heavy emphasis in one of the following areas: reimbursement, contracting, financial analysis or forecasting. Strong understanding of provider reimbursement methodologies and managed care programs and contracts. Strong analytical skills, including the ability to understand complex concepts, develop analyses that are responsive to business needs, and summarize relevant findings in a clear, concise manner. Highly proficient in Microsoft Office, specifically MS Excel, Access and PowerPoint. Experience in Allscripts EPSi decision support tool preferred. Highly organized with strong project management skills, including the ability to meet deadlines, effectively communicate with all levels of the organization, and work as part of a team.
The Contracting Analyst reports to the Director, Contract Analytics and Modeling. Under general supervision, produces financial and statistical reports and analytics. Assists in the establishment of appropriate contract rates and reimbursement structures and evaluates existing contract performance as well as forecasting impact of proposed contract rates. Builds and maintains payer contract models in the contract management tool. Designs and prepares accurate, timely and actionable analyses, financial models, dashboards and reports that effectively support payer contract negotiations and payer relations strategies and decision-making. Conducts research and generates analytics to evaluate the drivers of key trends that impact contract margin performance, synthesize findings and identify risks and opportunities. Implements and validates payer contract model terms, including the assessment of payment variances for revenue optimization.