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Overview of Position
Assist and advise the Client and Account Managers by evaluating, coordinating, disseminating, and analyzing Payor Contracting in the Pathology and Laboratory Functions.

What will be my duties and responsibilities in this job?

• Review managed care contracts and provide written overview and/or verbal explanations as requested by Clients and Account Managers.
• Review, compare and analyze carrier/client fee schedules and provide written recommendations as required.
• Assist client management and supervisory staff with resolution of Managed Care issues (ie: Provider Holds, resolving missing or deactivated enrollment numbers, ensuring various Payors have correct information for each Client).
• Assist with enrollment for commercial payers and issue resolution as needed.
• Develop and maintain working relationships with various Payor and Client representatives (ie: Managed Care Administrators, Credentialing Personnel, Carrier Reimbursement Departments, Carrier Medical Directors and Carrier Contracting Departments) to secure agreements and maximize reimbursement rates.
• Provide assistance with obtaining and establishing databases of statistical information.
• Obtain and update Payor and Client Contract information (ie: reimbursement rates); and various other job duties as requested and assigned.
• Prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives; organizes or schedules other people and their tasks; develops realistic action plans.
• Meets quality and productivity standards; completes work in timely manner.
• Assist or take responsibility for training of new team members as needed.

What are the requirements needed for this position?

• 4-year degree in business or related field or equivalent experience.
• 4+ years of Managed Care or Contract Administration experience.
• Ability to effectively prioritize and execute tasks in a high-pressure environment.
• Experience working both independently and, in a team-oriented, collaborative environment.
• Demonstrated leadership abilities with multiple teams in a healthcare billing capacity.
• Ability to analyze and utilize data, to apply procedural development techniques and review reimbursement information and to manage upward and downward communication.
• Ability to trend data, develop solutions and implement process improvements resulting in efficiencies to client metrics.
• Strong communication skills among team, corporate office, and senior management in all areas.
• Follow up in a timely manner on open items.

• Ability to read and comprehend complex instructions, correspondence and memos, written correspondence, and effectively present information in written or verbal format to client management, clients and other employees of the organization as needed.

What other skills/experience would be helpful to have?

• Very strong written, oral, and interpersonal communication skills
• Strong attention to detail

• Able to effectively prioritize work daily

• To perform this job successfully, an individual should have knowledge of Microsoft Office Suite.

What are the working conditions and physical requirements of this job?

Remote

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare?s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.