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SSM Health Senior Financial Analyst - Managed Care Modeling in St. Louis, Missouri

Role Purpose:

Contributes to the overall financial performance of SSM Health Care by following established policies and procedures to produce accurate and timely managed care analytics in an effective and consistent manner across the Missouri and Illinois region.

Responsibilities:

  • Ensures compliance with established processes related to the following:

  • Data integrity and reconciliation processes with managed care modeling software

  • Preparation and peer review of contract negotiation modeling reporting package

  • Preparation and peer review of quarterly Contract Performance report

  • With limited supervision, perform the necessary contract modeling in order to develop the hospital rate schedules and physician fee schedules as part of the managed care contract negotiation process.

  • Become proficient in the revenue cycle reporting tools to assist with identification or trending of revenue cycle opportunities.

  • Document and communicate revenue cycle opportunities identified through the contract modeling process to the appropriate department. Participate in meetings or conference calls as needed to explain or support position.

  • Serve as a department resource as it relates to understanding reimbursement principles and contract interpretation.

  • Participate in department and team meetings as needed in order to improve net revenue or processes related to the managed care modeling functions.

  • Keep supervisor informed of system malfunctions, problem areas, delays and other information integral to optimal performance.

  • Completes special projects related to managed care reimbursement on ad hoc basis.

Minimum Qualifications:

  • Bachelor’s degree in accounting, businessadministration or related field

  • At least 3 years of progressive experience infinancial management, principally in healthcare and preferably in a provider environment. Experience in non-providerhealth care setting (insurance, consulting) can be considered in lieu ofprovider experience.

Preferred Qualifications:

  • Master’s degree in accounting, businessadministration or related field

  • CPA certification

SSM Health - System Office –

SSM Health is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, SSM Health operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company.

Our Mission: Through ourexceptional health care services, we reveal the healing presence of God.

BenefitsStatement:

Our robust employee benefits package includes health benefits, life and accidental death and dismemberment insurance, long-term disability coverage, health and dependent care reimbursement accounts, paid time off, tuition reimbursement, adoption reimbursement, an employee assistance program, retirement plan options and more.

Note: not all benefits apply to all openings.

SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex

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