Hours
Shift Start Time:
8 AM
Shift End Time
5 PM
AWS Hours Requirement
8/40 - 8 Hour Shift
Additional Shift Information
Weekend Requirements:
No Weekends
On-Call Required
No
Hourly Pay Range (Minimum - Midpoint - Maximum)
$32.730 - $40.910 - $45.810
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
Please Note:
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
What You Will Do
Supports SCMG with analyzing the SCMG contractual terms, ensuring the Epic system is setup accurately and maintained, and provides data and financial analysis for its providers. The Contracts Analyst is responsible for operational support to respond to contract informational needs; analyzes contractual claims processing and compensation terms of Primary Care, Specialty, and Ancillary contracts; audits system set up for accuracy; etc.
Required Qualifications
- 3 Years experience with healthcare claims, reimbursements, and/or contracts.
- 2 Years experience in a Managed Care environment.
Preferred Qualifications
- Epic/Tapestry experience.
Other Qualification Requirements
- Bachelor's degree in business, accounting, or healthcare administration; or 4 years of relevant experience in contract or claims administration may substitute for degree. - REQUIRED
Essential Functions
Knowledge, Skills, And Abilities
- Ability to analyze and interpret data and outcomes of the Epic/Tapestry system.
- Strong working knowledge of claims processing, contract adjudication, and CPT/ICD 10 and HCPCS coding.
- Ability to maintain good working relationships with Physician and Provider representatives is critical and is required.
- Demonstrate analytical ability in a health related or claims adjudication system environment.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
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