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Job Details

Contract Analyst Remote

Company name
HCA Holdings, Inc

Location
Hendersonville, TN

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Hendersonville

Tennessee

GENERAL SUMMARY OF DUTIES - The Concuity Contract Modeler is responsible for supporting the Shared Service Center based modelers by translating and modeling standard Government, National managed care contracts and Global templates in Clear Contracts.

SUPERVISOR – N/A

SUPERVISES – N/A

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

Model managed care contract payment terms using ClearContracts

Review, create and maintain ClearContracts master files including global service descriptions, service rules, global fee schedules, profiles and hierarchy profiles

Complete appropriate Sarbanes Oxley workflow steps within the Calc Engine of ClearContracts

Complete testing of contract models by service line and keep documentation of accuracy in the Documentation & Compliance Module of ClearContracts

Upload and attach all pertinent contract documentation related to the rate schedules within the Documentation and Compliance Module of ClearContracts

Complete and maintain the “Legal Options” section on the Documentation & Compliance tab

Coordinate with IT&S Reimbursement Product Support for the modeling of Government or other contracts modeled directly in the Payment Calculator System for contract effective periods prior to ClearContracts implementation

Provide the Shared Service Center Modelers with support for model updates using existing tools during the ClearContracts transition period

Provide educational resources to support contract implementation and administration

Liaison with Managed Care Services Group and Payors to address managed care contract administration issues related to Governmental, National or Global Models

Coordinate managed care contract implementation activities with the Managed Care VP’s, Managed Care Services Group and the functional managers within the Shared Services Center

Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

Other duties as assigned

KNOWLEDGE, SKILLS & ABILITIES

Communication - communicates clearly and concisely, verbally and in writing

Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

Interpersonal skills - able to work effectively with other employees and external parties

PC skills - demonstrates proficiency in Microsoft Office applications and others as required

Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

Basic skills - able to perform moderately complex mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

Excellent oral and written communication skills

Self motivated

Able to work independently and as a team member

Analytical

Detail oriented

Excellent PC skills including experience with Microsoft Office and Excel

Excellent people skills

Management skills

Organizational skills

EDUCATION

Undergraduate degree required

EXPERIENCE

Minimum 3years HCA experience preferred

Proven ability to manage project work

Required understanding of medical finance, managed care contracting, or business office/claims shop operations

Working knowledge of managed care contracting and modeling preferred

Job:

*Finance Acctg Billing Claims & Revenue

Title:

Contract Analyst (Remote)

Location:

Tennessee-Hendersonville-Medicare Service Center

Requisition ID:

08910-150754

Company info

HCA Holdings, Inc
Website : http://hcahealthcare.com

Company Profile
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

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