HarmonyCares is one of the nations largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

Our Mission - Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services

Our Values - Respect, Integrity, Teamwork and Excellence - are leading us to a better tomorrow for patient care.

Why You Should Want to Work with Us

• Health, Dental, Vision, Disability & Life Insurance, and much more
• 401K Retirement Plan (with company match)
• Tuition, Professional License and Certification Reimbursement
• Paid Time Off, Holidays and Volunteer Time
• Paid Orientation and Training
• Great Place to Work Certified
• Established in 11 states
• Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!

The Payor Contract Analyst is responsible for the organization of all payor contracts throughout the HarmonyCares Continuum of Care, reviewing new contracts, and ensuring the payment integrity of those contracts.

Essential Duties and Responsibilities

• Maintains an internal payor contract matrix in an organized manner for all applicable departments and business lines within the company to reference
• Organizes contracts in an easy-to-identify fashion on the network or contracting database
• Accurately creates, assembles, and communicates all reports, detailed analyses, and trends needed by various internal and external customers
• Maintains updated contract rates, including yearly changes in governmental rates
• Identifies over/under payments, market, business, and reimbursement trends for the organization to maximize collections and improve efficiency
• Updates new rates, or works in collaboration with IT, to update payor rates in appropriate revenue cycle databases
• Acts as main point of contact for internal questions related to securing new deals, such as current accounts receivable balance, patient counts, and payment history related to that specific payor
• Reviews initial contract terms, referencing the companys contracting checklist to assist Operations and Finance in determining whether further negotiation is needed or terms are acceptable
• Reviews contract amendments, providing notes on what has changed and impacts
• Collaborates with internal departments on their business needs and proactively offers suggestions to increase efficiencies related to contracting
• Coordinates the submission of all documents necessary to secure a new payor contract, including the credentialing package and executive signatures
• Communicates new payor announcements to applicable departments and stakeholders
• Acts as a gatekeeper of the payor portal administrator spreadsheet to ensure new hires and termed employees have the proper access
  

Required Knowledge, Skills & Experience

• Associates degree in Business or other related field
• Ability to work independently and as a key contributing team member
• Possess strong analytical and problem-solving skills
• Ability to communicate with employees, management, and payer representatives in courteous and professional manner.
• Strong knowledge of Excel
• Base financial acumen and understanding of P&Ls and unit economics
• Excellent verbal, written, time management, organizational, and interpersonal skills
• Must have ability to manage multiple assignments concurrently

Preferred Knowledge, Skills & Experience

• Bachelors degree
• Certification in payor contracting through MGMA or other association preferred.
• 3+ years of experience in a contract analyst role

#IND