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

SDd2UGIvdEdGbVRHSS9RcTV0OUdBOGtudGc9PQ==
  • 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

West Texas Eye Associates

Medical Optometrist - Lubbock, TX Job at West Texas Eye Associates

 ...West Texas Eye Associates has a unique opportunity for a Medical Optometrist to join our fabulous team in Lubbock, Texas. The team includes 7 Surgeons, 1 optometrist, and dedicated technicians, scribes, and front office staff that treat a wide variety of eye disease including... 

Superior Construction Group LLC

Diesel Mechanic Job at Superior Construction Group LLC

 ...Superior Construction Group LLC is a fast-growing construction company specializing in excavation, underground utilities, site work, trucking, and heavy equipment operations. We take pride in maintaining a reliable fleet and providing high-quality service to our customers... 

Bradesco Bank

Operations Process Analyst - Bank Operations Job at Bradesco Bank

 ...work in the U.S. without the need for employment-based visa sponsorship now or in the future. Job Summary: The Operations Business Analyst will play a critical role in supporting the successful implementation and ongoing optimization of the ServiceNow platform within... 

eZone Staffing, LLC

Electrical Engineer Job at eZone Staffing, LLC

 ...Job Title: Project Manager / Electrical Engineer Job location: West Columbia, SC - [On-site] Duration: Full Time Job Description:...  ...through completion of construction as it pertains to electrical power distribution, lighting design, fire alarm design, and other low... 

Mountain Cascade,Inc.

Contract Administrator Job at Mountain Cascade,Inc.

 ...Construction operations throughout California. As a leading contractor in the industry, we pride ourselves on delivering high-quality...  ...compliance with California-specific requirements including: AB5 (independent contractor classification) DIR registration, prevailing...