Job Description :
Title: Provider contracts Analyst / must have healthcare experience

Dayton, OH

GC/USC/EAD ideally

Term of Assignment: Approx. 8.5 months
Top skillsets: Subject Matter Expert
Provider Reimbursement Definition Subject Matter Expert to analyze IN MCD contracts and identify gaps in Configuration

Bachelor of Science/Arts degree or equivalent years of relevant work experience is required
Three (3) years of provider contracts; claims or configuration experience is required
Five to eight (5-8) years of healthcare operations experience in insurance, managed care, or related industry is required
Proficient in Microsoft Office Suite to include Word, Excel and PowerPoint
In depth knowledge of Facets
Knowledge of performance/process improvement methodology highly desired
Knowledge of provider, customer service and claims functions is required
Demonstrates excellent analysis and collaboration skills
Knowledge of claims payment processes
Strong interpersonal, leadership and relationship building skills
Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
Excellent written and verbal communication skills
             

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