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Provider Contracting & Reimbursement Analyst-Intermediate at Independent Health - ApplyBlast

Provider Contracting & Reimbursement Analyst-Intermediate

Independent Health

1 month ago

3.1 on Glassdoor

Buffalo, New York, United States

Hybrid

Full Time

Medior

0 applicants

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About this role

The Provider Contracting & Reimbursement Analyst-Intermediate analyzes utilization, claims, membership, and cost data to support the Network Contract Management department and corporate strategic initiatives. The role involves designing analytical tools to draw statistically sound conclusions and presenting results to management regarding fair and market competitive reimbursement strategies. This position focuses on assessing the impact of reimbursement changes and policy shifts to drive value for the health plan, providers, and members.

Responsibilities

Analyze utilization, claims, membership, and cost data to support network contract management
Design and conduct statistical analyses to assess reimbursement impact and recommend courses of action
Create analytical tools to support strategic initiatives and inform reimbursement and pricing decisions

Skills

About Independent Health

independenthealth.com

Headquarters

Buffalo, New York, United States

Company Size

1001-5000 employees

Founded

1980

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Independent Health has been dedicated to improving the health and well-being of Western New York for over 45 years. They offer Individual and Family plans, Medicare Advantage plans, and NY State sponsored plans including Medicaid, Child Health Plus, and the Essential Plan. Independent Health is known for its exceptional customer service through the RedShirt® Treatment and works alongside the Independent Health Foundation to support community health through awareness, prevention, and education programs.