CONTRACTING ANALYST Job Vacancy in Network Medical Management Inc Alhambra, CA 91801 – Latest Jobs in Alhambra, CA 91801 – updated today

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Company Name : Network Medical Management Inc
Location : Alhambra, CA 91801
Position : CONTRACTING ANALYST

Job Description : Contracting Analyst Job Description
ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
With over a million managed lives across the country and terabytes of data generated, our software and applications need to be cutting-edge, efficient, and aligned with our core values of improving patient outcomes and empowering our providers.
We are looking for a full-time Contracting Analyst to join our fast-growing team in Los Angeles (Remote work – Open).

You are:

Comfortable with ambiguity and biased towards action. You can identify the 20% of the work that leads to 80% of the result, and mobilize and execute the high-impact work consistently. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value.
Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you, even in the face of potential challenges.
Growth-oriented. You are able to evaluate all perspectives, even if uncomfortable, and have the courage to adjust your views if necessary. You have the expertise and communication skills to balance a growth mindset with a bias towards action.
Mission-driven. You are excited by the prospect of diving into complex problems that will drastically improve patient outcomes, while lowering the cost of a tremendously inefficient US healthcare system, where waste is over 40% and per-capita healthcare dollars spent is double that of other developed nations.

What you’ll do:

Interpret and assess risk for provider-facing and payor-facing agreements for time sensitive negotiations.
Perform both data and contractual analysis in support of negotiations.
Perform Delegation Oversight / Compliance analysis to reduce ApolloMed’s risk exposure and likelihood of incurring penalties, sanctions, and or deductions.
Function as the lead product owner amongst a nimble team for ApolloMed’s Contract Management Software System.
Own, drive, and implement cross-functional Contracting-related changes to preexisting Operations.
Support Compliance objectives by serving as a liaison to both internal and external stakeholders to exceed companywide audit expectations.
Identify, communicate, and implement fixes to operational inefficiencies within ApolloMed’s Contract Management Software System.
Efficiently delegate and coordinate the flow of contracts to all relevant stakeholders.
Become a subject-matter Expert in all things related to strategic contract negotiations to improve both the quality of value-based care and the financial strength of ApolloMed.
Make strong judgement calls with tactful justifications for all contracting questions.
Work directly with Claims, Configuration, Business Development, and Data Management teams to gather reports regarding negotiation rates.
Prepare and analyze ad-hoc reports for committee meetings.

The opportunity:

Join a team with extremely high-level visibility; you will be working closely with Management and Directors work and negotiate with all Provider and Ancillary agreements.
Startup-like mentality and career trajectory in a recently IPO’d company (>4B market cap) targeting 100%+ growth YoY in 2022
Be the first contact to help ApolloMed positively impact millions of patients and thousands of healthcare providers

Minimum Qualifications

Bachelor’s Degree required or equivalent experience in the healthcare industry.

Technical backgrounds are a plus with a passion for the healthcare industry.

Minimum of 2-3 years of contracting/negotiation/payor/provider relations experience in the healthcare or related industry.
High level of comfort working with numbers and large bodies of text.
Capable of appreciating the significance of data integrity.
Knowledgeable in analytics with strong problem-solving skills. Capable of showcasing a methodical approach to troubleshooting.
You are meticulous, highly organized, and able to engage in exhaustive investigation when initial information is vague.
Excellent communication skills – both verbal and written. Experience in technical writing is a plus.
Has at least 1 year claims audit experience and understands how to negotiate proper payments.
Strong comfortability with Microsoft Office Suite (Excel, Word, PowerPoint).
Very knowledgeable with EZ-Cap and able to understand and work with proprietary software applications – preferred.

#LPIND

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