Responsible for healthcare insurance reimbursement analysis; validating pre-load and post-load of contracts; applying independent judgment in maintenance of claims adjudication system; formulating and implementing system improvements; acting as subject matter expert during contract negotiation processes; making recommendations to Managed Care negotiators regarding terms of contract; and collaborating with key stakeholders for resolution of related issues.

POSITION SUMMARY

Assists with the analysis of Third Party Payor allowances. Provides profitability analysis for various departments as well as market business segments. Performs analysis of system wide reserve accounts with corresponding month end entries. Accumulates all data necessary to complete the Medicare Cost Report. Other related duties as assigned.

POSITION QUALIFICATIONS

MINIMUM EDUCATION: Bachelor’s Degree in Business Administration with concentration in Accounting, Finance or Information Systems

PREFERRED EDUCATION: Master’s Degree in healthcare related field

MINIMUM EXPERIENCE : 1 year experience in healthcare setting with significant involvement in Third Party contractual analysis, operational accounting and data manipulation
PREFERRED EXPERIENCE : Medicare Cost Report experience

REQUIRED CERTIFICATIONS/LICENSURE :

PREFERRED CERTIFICATIONS/LICENSURE: CPA

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Same Posting Description for Internal and External Candidates

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.