Senior Contract Modeling Analyst/Full Time/Hybrid Troy
Henry Ford Health System
Under supervision of Manager, responsible for creating and managing facility and/or physician contract models for Henry Ford Health System entities using EPIC contract modeling system. Achieve high level of accuracy with models and research and resolve discrepancies between contract models and payments from payors.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payor agreements including Medicare, Medicaid, Blue Cross, and other payors.
Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models.
Support contract negotiations using contract modeling software to evaluate and create reimbursement proposals.
Maintain collaborative relationships with Managed Care Contracting and Patient Accounting and Underpayment teams to share information regarding payor financial arrangements and contract models.
Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling.
Provide guidance to and assist Contract Modeling Analysts.
Perform other duties as assigned
EDUCATION/EXPERIENCE REQUIRED:
+ Bachelor's Degree in Finance, Accounting, Business Administration or related field.
+ Requires a minimum 5-8 years professional experience in finance related field.
+ Prefer 1-2 years of experience in contract modeling, healthcare billing, medical record coding, reimbursement or related field.
+ Previous experience with EPIC contract modeling preferred.
+ Requires strong oral and written communication skills, organizational and interpersonal skills, and analytical skills.
+ Must possess an understanding of reimbursement methodologies and concepts and common reimbursement methodologies (DRGs, per diems, fee schedules, APCs, etc.).
+ Microsoft Excel required and relational database experience preferred.
Additional Information
+ Organization: Corporate Services
+ Department: Managed Care Contracting
+ Shift: Day Job
+ Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
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