Payer Contracting Analyst
Salt Lake City, UT
What does it mean to be a part of Intermountain Healthcare? It means that the quest for clinical excellence is not just a goal, but a given. It means building an environment where physicians and employees can deliver the best in healthcare. And it’s realizing each employee or volunteer is vital to the healing process, because we can only achieve the extraordinary together.
Being a part of Intermountain Healthcare means joining with a world-class team of over 36,000 employees and embarking on a career filled with opportunities, strength, innovation, and fulfillment. Our mission is: Helping people live the healthiest lives possible.
Our patients deserve the best in healthcare, and we deliver.
This position assists in the editing, amending, updating, execution, and maintenance of all Payer Contracting contracts and amendments to ensure that all provisions accurately reflect negotiated terms. Coordinates contract implementation with all affected parties at Intermountain Healthcare. Under direction of the Senior Contract Analyst or Account Manager, the Contract Analyst also responds to payer inquiries and maintains a database of contracts, following processes, and tracking contracts as requested by the department.
Essential Job Duties
Contract Process/Coordination/Implementation: Ensures that all contracts are properly drafted and executed. Responsible for drafting and finalizing contract language. Under Account Manager supervision, provides routine updating and renewal of contracts and amends the terms as circumstances arise. Documents terms that have been negotiated and written by the Account Manager. Under Account Manager supervision, ensures that contract provisions and correspondence are drafted in a manner consistent with Intermountain standards and policies. In coordination with the Account Manager, updates contract language when it becomes outdated and keeps all provisions current. Monitors payer contract compliance. Procures relevant information from payers to be included in contracts.
Maintains a database of all contracts, following processes, and tracking contracts as requested by the department. Effectively coordinates with all affected parties at Intermountain to ensure that their interests are addressed in the contracts.
Respond to Payer Inquiries: Possesses a working knowledge of the contracting process between Intermountain and payers. Knows and communicates Intermountain policies and procedures to payers under Account Manager supervision. Provides prompt and superior customer service when responding to payer inquiries and follows-up on outstanding issues.
Coordinates with Account Managers: Responds to payer inquiries and ensures that contracts are properly implemented, adhered to and serviced. Disseminates information of newly signed or amended contracts to all affected parties at Intermountain. Responsible for attending meetings with the Account Managers and departmental staff as requested.
Constructing Contracts, Amendments, etc.: Creates quality documents in accordance with department templates, standards and Intermountain policy.
Assumes responsibility for monitoring and tracking various and ongoing department projects, tasks and initiatives.
Bachelor's degree obtained through an accredited institution. Education is verified.
Two years professional experience working in a professional/legal/compliance support position requiring extensive writing, analysis, and customer service.
Experience using/understanding of legal terms and principles.
Two years experience in contract writing, negotiating, or managing.
Experience using word processing, spreadsheet, database, internet and e-mail, and scheduling applications.
Interact with others requiring the employee to communicate information.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
HIAA I & II Certification
Experience in corporate/legal setting.
Experience using medical terminology.
Two years experience in the health care industry or health insurance industry.