Akeso Talent is looking to add a Network Contract Analyst to our team which will be responsible for completing contract administration duties to ensure that claims are paid in accordance with contract provisions and that plan payment levels are reasonable and accurate based on the scope of services rendered.
This position requires at least 2-3 years of experience in a health care environment, including proven analytical expertise. A Bachelor's Degree in a related field OR an Associate's Degree AND sufficient work experience in health care/insurance pertaining to reimbursement or finance is required.
Experience with Microsoft Office Suite products including proficiency with Excel utilizing formulas, pivot tables, and other advanced functions is required, as well as a familiarity with plan operations, provider contract provisions, provider and facility types, claim submission requirements, and commercial/Medicare reimbursement methodologies.
This position also requires the ability to perform in a team environment, as well as proven ability to work independently with minimal supervision. Additionally, the ability to analyze provider reimbursement data and prepare detailed, organized reports and studies is essential, as well as the ability to communicate results professionally and develop effective working relationships with provider financial personnel.