Sr Payer Analyst / Managed Care Contracting

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary:

Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and monitors contract/payer performance including payer parity. Compares expected reimbursement data to cost performance by service line. Responsible for maintaining payment related tools such as payer rate grids. Responsible for maintaining accurate expected reimbursement build in the EPIC system. Responsible for overseeing ad hoc analysis in support of various HHC and ICP contracting 

Position Responsibilities:

Key Areas of Responsibility

1.   Develop analysis in support of payer contracting efforts, including review of cost performance.  Key areas of focus are hospital and ancillary analysis.

2.   Maintain accurate expected reimbursement build in the EPIC system.

3.   Maintain payment related tools such as payer rate grids

4.   Maintain a process for final modeling information review

5.   Work collaboratively with revenue cycle, medical records/coding and compliance to identify and correct issues.

6.   Develop ad hoc analysis in support of HHC and/or ICP contracting initiatives.

Working Relationships:

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