Work where every moment matters Every day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemDepartment DescriptionIntegrated Care Partners ICP is a physician led clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current rapidly changing medical environmentPosition SummaryReporting directly to the Manager of Payer Analytics Reporting the Physician Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for physicians and medical professionals Develops payment related tools such as payer rate grids and fee schedule comparison databases Responds to contract related inquiries within established timeframes Works independently to identify and correct drivers related to contract language and rate terms Identifies and corrects issues related to contract performance Position ResponsibilitiesDevelops modeling process to benchmark reimbursement rates to Contracted Commercial Medicare and Medicaid reimbursement levelsDevelops modeling process to maximize professional reimbursement and ensure consistency and equity among specialtiesRecommends contract provisions and protections to minimize payer policy impacts on physician revenue to Manager of Payer Analytics ReportingProvides the data and intelligence to support fact based negotiations with payorsDevelops ad hoc analysis in support of HHC andor ICP initiatives as assigned ensuring end results fulfill initial requests or project goalsReports To Manager of Payer Analytics ReportingWork where every moment matters Every day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemDepartment DescriptionIntegrated Care Partners ICP is a physician led clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current rapidly changing medical environmentPosition SummaryReporting directly to the Manager of Payer Analytics Reporting the Physician Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for physicians and medical professionals Develops payment related tools such as payer rate grids and fee schedule comparison databases Responds to contract related inquiries within established timeframes Works independently to identify and correct drivers related to contract language and rate terms Identifies and corrects issues related to contract performance Position ResponsibilitiesDevelops modeling process to benchmark reimbursement rates to Contracted Commercial Medicare and Medicaid reimbursement levelsDevelops modeling process to maximize professional reimbursement and ensure consistency and equity among specialtiesRecommends contract provisions and protections to minimize payer policy impacts on physician revenue to Manager of Payer Analytics ReportingProvides the data and intelligence to support fact based negotiations with payorsDevelops ad hoc analysis in support of HHC andor ICP initiatives as assigned ensuring end results fulfill initial requests or project goalsReports To Manager of Payer Analytics ReportingEducation BABS degree in healthcare MIS Finance Statistics Mathematics or related field is requiredExperience At least five years of physician contract modeling related experienceKnowledge Skills and Ability RequirementsKnowledge regarding current and evolving provider payment methodologies with a focus on physicianKnowledge of governmental payment structuresKnowledge of physician payment policies and coding required including CPTHCPC and modifier codingKnowledge of common payment adjustments including site of service and provider level differentialsExperience with EPIC contract modeling software as well as other financial software and reporting tools preferredExperience working with large data sets preferredExcel and Access ability required SQL experience a plusDemonstrated knowledge on billing and coding is required as well as broad knowledge of health care finance andor accounting issuesStrong interpersonal and communication skills essential as well as demonstrated ability to work collaboratively across functional areasAdvanced analytic and problem solving skillsCustomer service focusWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEducation BABS degree in healthcare MIS Finance Statistics Mathematics or related field is requiredExperience At least five years of physician contract modeling related experienceKnowledge Skills and Ability RequirementsKnowledge regarding current and evolving provider payment methodologies with a focus on physicianKnowledge of governmental payment structuresKnowledge of physician payment policies and coding required including CPTHCPC and modifier codingKnowledge of common payment adjustments including site of service and provider level differentialsExperience with EPIC contract modeling software as well as other financial software and reporting tools preferredExperience working with large data sets preferredExcel and Access ability required SQL experience a plusDemonstrated knowledge on billing and coding is required as well as broad knowledge of health care finance andor accounting issuesStrong interpersonal and communication skills essential as well as demonstrated ability to work collaboratively across functional areasAdvanced analytic and problem solving skillsCustomer service focusWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment