What are the responsibilities and job description for the Managed Care Analyst position at US Physical Therapy?
Job Description
It is an exhilarating time of growth for USPh, and we are currently looking for a Managed Care Analyst to join our team. Reporting to the Director of Managed Care Contracting, you will be responsible for negotiating contracts with managed care companies and health plans and providing advanced analytics to meet the strategic goals for the financial performance of these contracts. You will interact with internal and external parties regarding communication and questions about rates and terms, rate structure, development, and reconciliation of contract provisions and disputes. You will develop, maintain, and provide regular reporting on the financial performance of the contracts for contract monitoring, budgeting, and long-range planning in support of revenue integrity efforts and for contract department performance and accountability review.
Responsibilities :
- Interprets managed care contracts and government reimbursement methodologies to create contract modeling calculations
- Prepare pre-negotiation analysis to support the development of negotiation strategies.
- Define, develop, and execute modeling and analysis for new and updated fee schedules and contracts.
- Manage contract records in Managed Care Contracting’s database and other tools to provide timely updates to staff throughout provider organizations. Stay abreast of renewals, amendments, and other contract changes.
- Query EMR and Practice Management Systems to obtain data for accurate analysis
- Assist Reimbursement on more complex projects, providing support as necessary.
- Assist in creating new modeling templates and analysis for the Managed Care Operations Team.
- Work with contracted parties to determine the nature of contract language misunderstandings and resolve conflicts efficiently and fairly to all parties involved.
Qualifications
Additional Information
Benefits :
This position's anticipated base salary range is $75,000- $100,000. Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography. Additionally, this position is eligible for discretionary incentive compensation. The company's incentive compensation plan is subject to change. Medical, dental, vision, 401(k), paid time off, and other benefits are available.
Salary : $75,000 - $100,000
