Contract Analyst

at  Avera Health Plans

Join the team at Avera!
Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.
Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.
Join Avera as a Contracting Services Specialist and join a mission driven organization with a great company culture, and team environment.

Position Highlights:

• Paid Time Off (PTO) available on Day 1!
• Options for Free Health Insurance!
• Positive Work Environment: Be part of an organization where we practice the mission in our daily operations.
• Career Growth opportunities!

JOB SUMMARY

The Contracting Services Specialist facilitates and implements AHP’s fee schedules; researches and responds to inquiries from hospitals, physicians and staff on coding and fee schedule issues and makes decisions that are in compliance with AHP’s policy and procedures. The Contracting Services Specialist coordinates updating and maintaining provider contracts through interaction with legal counsel, credentialing staff and network services staff; provides staff training on contracting and fee schedule development; develops and maintains policies and work instructions for contracting and fee schedules; manages all aspects of delegate vendor relationships, assesses contracting strategies and reimbursement methodologies; generates reports on provider contract compliance with AHP and responds to requests for data reports from management, marketing, finance, network services and underwriting on network performance. The duties performed by the Contracting Services Specialist are critical to ensure the performance of the networks supporting AHP.

EDUCATION AND/OR EXPERIENCE

• Bachelor’s degree in Health Administration, Business, Medical Records, Health Information, or related field.

Please refer the Job description for details