Northeast Georgia Health System (NGHS) is seeking an Analyst for managed care reimbursement to perform complex analytical and operational functions related to managed care financial analysis, contract negotiation, and claims resolution. The ideal candidate will have at least four years of relevant experience in managed care contracting and billing, with strong analytical skills and knowledge of healthcare reimbursement processes
Job Summary
Performs a wide range of complex managed care analytical and operational functions, including managed care financial analysis and assisting with contract negotiation processes.
Acts as a liaison between contract management system administrators, Revenue Cycle, and Managed Care negotiators for issue resolution and feedback.
Works with managed care payors to resolve claims and related issues to enhance managed care contract performance.
Matching Summary
Match Score: 85
Northeast Georgia Health System (NGHS) is seeking an Analyst for managed care reimbursement to perform complex analytical and operational functions related to managed care financial analysis, contract negotiation, and claims resolution. The ideal candidate will have at least four years of relevant experience in managed care contracting and billing, with strong analytical skills and knowledge of healthcare reimbursement processes.