R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
The Contracts Analyst will be responsible for (Creating, maintaining, and analyzing Expected Reimbursement values and Variances). This person will (strive for Contract Excellence and become a Subject Matter Expert in various payment methodologies including Commercial, Government and State specific logic).
In this role, the successful candidate will work with various Internal and External team members both on and offshore to identify risk areas and seek opportunities for increased accuracy.
The successful candidate must have demonstrated ability to read Payor Contract language, provide previous experience in Healthcare or Revenue Cycle management, and demonstrate the passion to lead the team to success.
Responsibilities:
Engage with clients to gather necessary contract documentation, including paper contracts, fee schedules, amendments, and any other documentation that drives Expected Reimbursement
Evaluate contract documentation to identify payment methodologies, hierarchy, and reimbursement rules.
Build Service Rules into R1 proprietary contract engine, apply Payor Grouping logic and calculate Expected Payment
Categorize variance trends, apply coding to accounts, quantify volumes and seek path to resolutions.
Required Qualifications:
Ability to comprehend managed care contracts and payment methodologies.
Experience analyzing data in Excel- importing and exporting data.
Detail oriented with the ability to self-prioritize work, QA individual and peer-built models, all while working in a fast-paced environment.
Must be capable of multi-tasking and managing time. Handle immediate requests from supervisors with an accurate but quick turnaround time.
Desired Qualifications:
1-3 years of experience in finance, data, Revenue Cycle Management
1-3 years of experience in healthcare
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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To learn more, visit: R1RCM.com
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What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers
R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
