Reimbursement Consultant (Managed Care) Job at Henry Ford Health, Troy, MI

Z2NWQlFHVVlRNUVxajZHTk9xL2RtU3lC
  • Henry Ford Health
  • Troy, MI

Job Description

Under minimal supervision of the Manager, independently leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will proactively identify rates, methodologies, and processes that need improvement and will develop and implement solutions to optimize reimbursement.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field.
  • Master's Degree preferred.
  • Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity including experience with various reimbursement methodologies (DRGs, per diems, fee schedules, case rates, etc.).
  • Report writing capabilities or ability / willingness to learn.
  • Strong Analytical and Critically Thinking skills (via curiosity, creativity, skepticism, and adept in use of logic) relative to accomplishing business objective and problem solving.
  • Detail oriented.
  • Proficient in Microsoft Excel (queries, reports, pivots, What If scenarios and database mgmt. a plus).
  • Proficient in Data extraction & reporting tools (EPSi, SQL, Clarity, etc.).
  • Excellent oral and written communication skills.
  • Strong organizational and interpersonal skills.
  • Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology.

Job Tags

Contract work,

Similar Jobs

Aramark

Cook Supervisor - Ellsworth Correctional Job at Aramark

 ...utensils Maintains excellent customer service with a positive attitude towards guests, customers, clients, co-workers, etc. Follows Aramark safety policies and procedures including food safety and sanitation Ensures security of company assets Produces and maintains... 

ProPivotal Staffing

Lifeline Call-Taker (Part-Time, Overnight Shift) Job at ProPivotal Staffing

 ...Lifeline Call-Taker (Part-Time, Overnight Shift) We areseeking compassionate and dedicated individuals to join our team as Lifeline Call Takers...  ...Qualifications: High school degree Prior telephone/call-center experience, particularly focused onproviding emotional... 

Genuine Search Group

Maintenance Manager Job at Genuine Search Group

 ...We are working with one of the largest real estate investors on Long Island to fill a Maintenance Manager opening. This role is a contract position with potential to convert to permanent employment. PRIMARY RESPONSIBILITIES: Perform minor electrical work including... 

Oath Law

Administrative Assistant Job at Oath Law

 ...nationwide. Responsibilities Oversee our day-to-day office operations in Pennsylvania Execute other office administration tasks...  ..., and communication skills Basic computer skills including experience with Microsoft Office No prior experience required About... 

Sycuan Casino Resort

Chef De Cuisine - Fine Dining Job at Sycuan Casino Resort

 ...aspects of multiple kitchens, such as menu plans, operations, recipes, financial responsibility, portion and inventory control, and food quality. The Chef de Cuisine will lead the team to operate as effectively and efficiently as possible while not sacrificing quality...