Contracts Payor Analyst

Contracts Payor Analyst

_Bring your passion to Texas Health so we are Better + Together_

Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011

Work Hours: Full Time Days: (8:00am-5:00pm) for 40 hrs/week (Hybrid work allowed at manager's discretion)

Department Highlights:

+ Hybrid Position
+ Gain a sense of accomplishment by contributing to a teamwork environment.
+ Receive excellent mentorship, comprehensive training, and dedicated leadership resources.

What You Will Do:

Contract Analysis and Audit:

. Validate all payor contract loads, ensuring accurate reimbursement methodologies, escalator terms, carve-outs, and fee schedules across EPIC, StrataJazz, PMMC, and related tools.
. Conduct comprehensive contract load audits and identify discrepancies between negotiated terms and system configuration.
. Perform expected-to-actual reimbursement analysis by payor, entity, service line...