Financial Analyst - Payer Contracting

Full-Time
Day Shift
Department
CSS-Payer Contracting
Shift Details
Day Shift, Monday-Friday; 8:00a-4:30p
Job ID
wd-JR106973
Posted

Financial Analyst - Payer Contracting

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.


Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.


LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.


Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.


Summary

Provides financial, and statistical information to management, staff, and external customers in compliance with internal, and external requirements by efficiently accessing the organization's financial, and decision support systems, and through effectively analyzing, and verifying the inputs, and outputs from those systems.

Job Duties

  • Prepares accurate, complete, concise, and understandable financial information for timely distribution to internal and external users. Financial information includes, but is not limited to patient accounts, patient claims, patient transactions, revenue calculations, payer mix calculations and payment rate benchmarking.
  • Builds financial models to assist in payer contract negotiations.
  • Runs reports to compile patient financial data including accounts, claims and transactions.
  • Utilizes health system data for use in analyses, creates payer comparison grids and generates payer rate tables using relevant contractual terms.
  • Interprets contractual language to understand payment methodologies, payment rates and relevant financial language to assist in financial calculations.
  • Calculates relevant payer metrics for use in payer comparisons, financial analyses and dashboards.
  • Serves as a resource to management to assist in ad hoc projects.

Minimum Qualifications
  • Bachelor’s Degree in Accounting or Finance required.
  • 3 years experience as an accountant, financial analyst or the equivalent.
  • Knowledge of hospital and physician payment methodologies.
  • Proficiency in the use of personal computers operated in a Windows environment and ability to use various mainframe and PC-based software applications. Proficiency in Excel and Word is required.
  • Must function cooperatively as part of the Payer Contracting team and exhibit flexibility in response to changing demands and priorities.
  • Work requires effective written and oral communication skills with a need for communications to be complete, concise and understandable. The target audience varies from department leadership to internal and external stakeholders.

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.


Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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