This job is no longer available
There are still lots of open positions. Let's find the one that's right for you.
As a Contract Management Analyst at PCCM/CHS Shared Service Center - Nashville, you will be responsible for accurately coding, testing, and maintaining managed care contracts from assigned facilities into the contract management system, ensuring compliance with the language of the legal documents. This role is crucial in supporting the organization's mission to provide safe, quality healthcare and to build enduring relationships with patients while delivering value to the communities served. You will work closely with expression building tools and collaborate with the Programming Administrator to enhance the system's capabilities to accommodate new service definitions and reimbursement methodologies. Additionally, you will serve as a liaison for Managed Care Financial Analysts and other financial managers, helping them understand the calculations produced by the contract management system. Your essential duties will include loading executed managed care contracts into the contract management system, updating contracts with scheduled rate changes, and building new service definitions as required. You will consult with contract negotiators to ensure that the contract template accurately reflects the negotiated terms and monitor changes in recognized coding schemes (ICD, CPT, and DRG) to anticipate impacts on contract language and reimbursement calculations. This position requires a high level of organization, initiative, and the ability to work independently while managing multiple projects simultaneously. You will also be expected to maintain applicable continuing education requirements to stay current in the field.
