Payer Contract Analyst, Value Based - Waukesha or Remote - Full-Time, Remote

PHC

Waukesha Wisconsin

United States

Customer Service / Call Center
(No Timezone Provided)

ProHealth Care has been the health care leader in Waukesha County and surrounding areas for the past century, providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities. Learn more at ProHealthCare.org

From $64,000

Hours: This is a full-time, remote work position. Monday - Friday 8:00am - 4:30pm, additional hours as required.

Full Time / Part Time: Full Time Benefits

FTE: 1.00

What You Will Do:

This position presents the opportunity to be on the cutting edge of the future of health care, working with value based contracting and an accountable care organizations (ACO). A dynamic opportunity for you to gain skills and work in an area that puts you at the forefront of reimbursement.

Responsible for coordinating operational and analytic activities related to value based contracts. Individual will work closely with payers, internal departments, and key leadership in order to assist in maximizing return on value based contracts. Individual will work with payers and internal departments to leverage existing data/tools or assisting to develop new tools to provide enhanced data analytics and reporting capabilities on value based contracting performance through the health system. Individual will be responsible for providing information to other internal departments necessary to operationalize terms of the contracts.

What you will need:

  • Bachelor's Degree in Accounting, Finance or related field required.
  • At least 2 years related data analysis experience.
  • Healthcare analytics and payer contract modeling experience preferred.
  • Proficient in software tools such as Outlook, Excel, Word, PowerPoint.
  • Capacity to learn and perform data analysis and reporting.
  • Strong interpersonal skills.
  • Strong presentation skills – verbal and written.
  • Experience in/knowledge of health plan or other insurance/consulting setting with analytic experience with value based contracts preferred.

#LI-KH

*CA

#remote

ProHealth Care, one of the largest employers in Waukesha County, offers work that is challenging and rewarding. The organization is dedicated to providing the highest quality service to our patients and their families and treats each individual with respect – the way they should be treated. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. We have high expectations for those who join our team of nearly 5,000 employees. In return, we offer exceptional career opportunities in a dynamic, health care system where the contributions of every team member are valued.

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Payer Contract Analyst, Value Based - Waukesha or Remote - Full-Time, Remote

PHC

Waukesha Wisconsin

United States

Customer Service / Call Center

(No Timezone Provided)

ProHealth Care has been the health care leader in Waukesha County and surrounding areas for the past century, providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities. Learn more at ProHealthCare.org

From $64,000

Hours: This is a full-time, remote work position. Monday - Friday 8:00am - 4:30pm, additional hours as required.

Full Time / Part Time: Full Time Benefits

FTE: 1.00

What You Will Do:

This position presents the opportunity to be on the cutting edge of the future of health care, working with value based contracting and an accountable care organizations (ACO). A dynamic opportunity for you to gain skills and work in an area that puts you at the forefront of reimbursement.

Responsible for coordinating operational and analytic activities related to value based contracts. Individual will work closely with payers, internal departments, and key leadership in order to assist in maximizing return on value based contracts. Individual will work with payers and internal departments to leverage existing data/tools or assisting to develop new tools to provide enhanced data analytics and reporting capabilities on value based contracting performance through the health system. Individual will be responsible for providing information to other internal departments necessary to operationalize terms of the contracts.

What you will need:

  • Bachelor's Degree in Accounting, Finance or related field required.
  • At least 2 years related data analysis experience.
  • Healthcare analytics and payer contract modeling experience preferred.
  • Proficient in software tools such as Outlook, Excel, Word, PowerPoint.
  • Capacity to learn and perform data analysis and reporting.
  • Strong interpersonal skills.
  • Strong presentation skills – verbal and written.
  • Experience in/knowledge of health plan or other insurance/consulting setting with analytic experience with value based contracts preferred.

#LI-KH

*CA

#remote

ProHealth Care, one of the largest employers in Waukesha County, offers work that is challenging and rewarding. The organization is dedicated to providing the highest quality service to our patients and their families and treats each individual with respect – the way they should be treated. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. We have high expectations for those who join our team of nearly 5,000 employees. In return, we offer exceptional career opportunities in a dynamic, health care system where the contributions of every team member are valued.

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.