Job Summary Provides data retrieval / contract modeling / financial analysis support to Director, VP, and Managed Care Regional Contracting Directors. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Retrieves reimbursement data from hospital and physician accounting systems. • Builds financial models to analyze and evaluate the reimbursement impact of hospital and physician payer reimbursement methodology proposals • Works with Managed Care Regional Contracting Directors on contract interpretation issues to ensure accuracy of contract models and financial analysis. • Produces clear and concise written reports summarizing payment modeling analysis. • QA monthly data loads. • Completes special projects/reports as needed Qualifications: • Well versed in reimbursement methodology including DRG, APC, COPPS, OPPS, Case Rates, Per Diems, HCPCS and CPT Code Fee Schedules (2-5 years’ experience). • Familiar with hospital and physician billing and coding terminology including diagnostic codes, revenue codes, procedure codes, and HCPCS codes. • Well versed in healthcare product lines including HMO, PPO, HIX, Medicare, Medicaid, Tricare, Workers Comp. • Must be able to clearly communicate complex and technical issues in writing and verbally. • Must have the ability to work independently and manage multiple projects simultaneously Computer Skills: To perform this job successfully, an individual should have knowledge of • Word Processing software • Exceptional skills in Excel. • Knowledge of contract modeling systems such as FinThrive preferred. • Knowledge of Access or SQL preferred. Education/Experience: • Bachelor’s degree required; emphasis in Accounting or Data Analytics preferred • 2-5 years’ work experience required • Prior experience in hospital, physician or health plan financial analysis, or equivalent experience preferred • Knows/has modeled/worked with health plan/hospital and physician managed care commercial and Medicare reimbursement methodologies and terminology