Job Summary
A healthcare company is searching for a person to fill their position for a Telecommute Contract Modeling Specialist.
Core Responsibilities of this position include:
- Developing, testing and maintaining expected reimbursement rules
- Accurately identifying payment variances
- Maintaining a schedule of key update dates for expected reimbursement rules
Skills and Requirements Include:
- 4 year Bachelors Degree, Specialty/Major: Business or relevant discipline
- 4-5 years of experience in healthcare industry
- Knowledge of managed care organizations, contracts, and products
- Experience with MS Office Tools, EPIC Proprietary software application such as 3M
- Thorough knowledge of applicable policies and regulations governing managed care organizations
- Ability to understand and interpret all aspects of a contract