Washington University in St. Louis
Analyst Managed Care Reimbursements (Remote)
RemoteUnited States only
- Employment
- Full-time
$65.9k–$112.7k/yr
Check eligibility
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No BS summary
Remote US-based reimbursement analyst for managed care fee schedules and contracting. Works with commercial and government payers, supports transplant contracting, reporting and reimbursement dispute resolution. Bachelor's (or equivalent) acceptable; role is full-time, US-remote.
Core skills
Managed Care fee schedule management
Required skills
Epic EHRMicrosoft AccessMicrosoft ExcelStatistics
Optional skills
Health AdministrationHealth Care SystemsManaged Care OperationsAnalytical ThinkingComputer LiteracyDetail-OrientedInterpersonal CommunicationOral Communications
What you'll do
- Develops fee schedule proposals and counter proposals to assist in negotiation and implementation of reimbursement contract terms.
- Maintains fee schedule data for all commercial and government payers.
- Responsible for managed care and transplant fee schedule integrity.
- Ensures fee schedules are appropriately updated and communicates changes to WashU Departments, Physician Billing Service (PBS) and other parties.
- Develops schedules and strategies to maximize annual updates to fee schedules representing $300,000,000 in annual revenue.
- Identifies contracting opportunities to enhance net revenues and advises Departments.
- Monitors, understands and articulates industry and government trends impacting managed care pricing (including CPT-4, HCPCS level II, revenue coding).
- Interprets managed care contracts and assists Department leadership and PBS Revenue Integrity/MPV team in resolving reimbursement disputes with payers.
- Maintains transplant contracting database.
- Provides or coordinates high level analysis and reporting support to PBS and the Faculty Practice Plan (FPP).
What they require
- Education: Bachelor’s degree or combination of education and/or experience may substitute for minimum education.
- Certifications /Professional Licenses: No specific certification/professional license is required for this position.
- Work Experience: No specific work experience is required for this position.
- Driver's License: A driver's license is not required for this position.
- Must be able to perform essential functions with reasonable accommodations as needed.
Benefits
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Free Metro transit U-Pass for eligible employees.
- Defined contribution (403(b)) Retirement Savings Plan with university contributions starting at 7%.
- Wellness programs: challenges, annual health screenings, mental health resources, mindfulness programs, EAP, financial resources, access to dietitians.
- Family: 4 weeks of caregiver leave to bond with new child; family care resources; tuition coverage for employee and dependents (up to 100% at WashU and 40% elsewhere after seven years).
- Pre-employment screenings including criminal background check, drug screen, employment/education verification, physical examination, vaccinations and governmental registry checks.
private research university in St. Louis, Missouri, United States
$65.9k–$112.7k/yr