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The CORE Institute · Corporate Office · Phoenix, AZ

Payor Contracting Analyst

TypeFull time
Experience3+ yrs
EducationBachelor's pref.
PostedOct 5
✓You’ll need
Education
Bachelor’s Degree in Finance or Healthcare Administration preferred.
Qualifications
✓Minimum of three years of experience working in an analytic role in a healthcare environment (payor or provider) with an in-depth knowledge of physician reimbursement methodologies.
✓Intermediate to advanced-level MS Excel skills (pivot tables, vlookups, conditional formulas).
✓Experience using relational databases.
✓Knowledge of physician reimbursement.
✓Knowledge of provider billing practices.
✓Knowledge of CPT codes, modifier rules, CMS payment policies.
✓Skill in effective data collection and analysis.
✓Skill in designing analyses and appropriate reports.
✓High-level attention to detail, accuracy, and organization skills.
✓Strong ability to prepared and understand functional and technical specifications.
✓Ability to analyze problems and interpret information and prioritize and reprioritize, as necessary.
✓Ability to work independently, and as part of a team.
✓Ability to multi-task, manages multiple projects, and meets tight deadlines.
+Benefits
Competitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee Appreciation DaysEmployee Wellness Events
The CORE Institute
183open roles
4administration roles open at this facility
All 183 The CORE Institute jobs
Want the next administration job in Arizona by email?
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✓You’ll need
Education
Bachelor’s Degree in Finance or Healthcare Administration preferred.
Qualifications
✓Minimum of three years of experience working in an analytic role in a healthcare environment (payor or provider) with an in-depth knowledge of physician reimbursement methodologies.
✓Intermediate to advanced-level MS Excel skills (pivot tables, vlookups, conditional formulas).
✓Experience using relational databases.
✓Knowledge of physician reimbursement.
✓Knowledge of provider billing practices.
✓Knowledge of CPT codes, modifier rules, CMS payment policies.
✓Skill in effective data collection and analysis.
✓Skill in designing analyses and appropriate reports.
✓High-level attention to detail, accuracy, and organization skills.
✓Strong ability to prepared and understand functional and technical specifications.
✓Ability to analyze problems and interpret information and prioritize and reprioritize, as necessary.
✓Ability to work independently, and as part of a team.
✓Ability to multi-task, manages multiple projects, and meets tight deadlines.
+Benefits
Competitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportEmployee Appreciation DaysEmployee Wellness Events
The CORE Institute
183open roles
4administration roles open at this facility
All 183 The CORE Institute jobs
Want the next administration job in Arizona by email?
Weekly, free, unsubscribe with one click.

Full employer posting

Remote position

Competitive Health & Welfare Benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Employee Appreciation Days Employee Wellness Events

Minimum of three years of experience working in an analytic role in a healthcare environment (payor or provider) with an in-depth knowledge of physician reimbursement methodologies. Intermediate to advanced-level MS Excel skills (pivot tables, vlookups, conditional formulas). Experience using relational databases.

Bachelor’s Degree in Finance or Healthcare Administration preferred.

Demonstrate thorough knowledge of CMS regulations and reimbursement methodologies relevant to professional claims. Familiarity with value-based care payment models and industry trends. Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs.

Familiar with a variety of concepts, practices, and procedures in the field of managed care and practice management. Possesses strong organizational skills and careful attention to detail. Must be able to problem-solve and come forward with recommendations.

Must be able to stay on task with minimal supervision. Excellent critical thinking, troubleshooting, and analytical skills. KNOWLEDGE Knowledge of physician reimbursement.

Knowledge of provider billing practices. Knowledge of CPT codes, modifier rules, CMS payment policies. SKILLS Skill in effective data collection and analysis.

Skill in designing analyses and appropriate reports. High-level attention to detail, accuracy, and organization skills. ABILITIES Strong ability to prepared and understand functional and technical specifications.

Ability to analyze problems and interpret information and prioritize and reprioritize, as necessary. Ability to work independently, and as part of a team. Ability to multi-task, manages multiple projects, and meets tight deadlines.