MANAGED CARE OPERATIONS ANALYST
Camden, NJ 
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Posted 4 days ago
Job Description
MANAGED CARE OPERATIONS ANALYST Camden, NJ Job ID 14490 Job Type Full Time Shift Day Specialty HIM/Coding
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About us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.


Short Description

Maintain and update Epic and contract management tool (e.g. Strata Jazz) as it relates to contract management and maintenance, be the Subject Matter Expert (SME) for both systems as it relates to contract build.

Troubleshoot and fix Epic and contract management tool as it relates to incorrect contract logic causing claims to process incorrectly; submit help tickets requesting assistance from Epic or contract management tool to correct issues.

Update the team as to accuracy of Epic and contract management tool functionality; develop and maintain contract variance reports for contract inconsistencies.

Knowledge of payor contracting methods and reimbursement processes, particularly as they relate to claim payment and operational administrative issues.

Responsible for updating billing teams with contract documents and being the liaison between Billing and Managed Care.

Develop and maintain reporting and modeling capabilities in both Epic and contract management tool and ensuring both systems are operating at full capacity. Participate in system meetings as offered to learn about new upgrades to systems.

Run ad hoc reports and complete impact analysis as requested. Provide back up support to Business Data Analyst as assigned.


Experience Required

Proficient in Excel, Word, Access, Epic. Experience in hospital/physician business office environment, particularly in a billing or health plan administration capacity, preferred. Must have strong written and verbal communication skills and must be able to work as a team player.

Deadline oriented, having technical capability for Epic contract management maintenance; ability to work independently and in a team environment. Ability to manage multiple complex and concurrent projects.


Education Requirements

B.S. Degree in Data Analytics, Finance, or Healthcare/Business Administration preferred.


License/Certification Requirements

Epic Certification in Resolute Hospital Billing or Resolute Physician Billing.

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Cooper University Health Care complies with applicable Federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex.

Cooper University Health Care provides free aids and services to people with disabilities to communicate effectively with us, including qualified sign language interpreters, large print or audio communications, free language services, and written materials in different languages.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
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