Business Analyst

• Create and build records for third party payer contract agreements, including insurance plans, business rules, and contract pricing terms
• Maintain assigned payer agreements and update pricing, coding, and business rules
• Work with Contracting and Revenue Cycle Management on site integration to ensure insurance plans are accounted for and assigned to the correct location
• Identify contracts that are not generating revenue and assess opportunities to purge records and reduce insurance plan selection errors
• Audit third party agreement pricing tables for accuracy
• Collaborate with Pricing to ensure proper insurance plans are utilized and maximize profitability
• Collaborate with IT and Revenue Cycle Management on system upgrades and recommend system enhancements
• Ensure proper insurance plans are set up and usable by CMC
• Provide advanced system reports for revenue cycle management and pricing teams regarding payer pricing strategies
• Assist with training Contract System Management Specialists
• Prepare, research, interpret, and load third party payer agreements into the CPR Plus pharmacy management system
• Facilitate cross-functional collaboration with Contracting, Pricing, Trade, Revenue Cycle Management, Contract Operations, and CMCs

Business Analyst jobs in Nebraska

Contract System Management Analyst