Senior Contract Definition Analyst - Healthcare (Remote) at Expedia

New Orleans, Louisiana, United States

Apply Now

Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Data and Technology, Financial Services, Automotive, Agrifinance, InsuranceIndustries

Requirements

Candidates should possess at least 4 years of experience in the hospital industry, focusing on payer contracts, facility reimbursement methodologies, and adjudication rules. Familiarity with hospital billing, claims management, and payer contracting is necessary, along with in-depth knowledge of commercial payer, Medicare, and Medicaid reimbursement models for inpatient and outpatient services. Proficiency in coding systems such as CPT, HCPCS, DRG, Revenue Codes, Occurrence Codes, and ICD-10 is required, as is the ability to learn new reimbursement methodologies. A Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration is preferred.

Responsibilities

The Hospital Contract Definition Analyst will analyze, define, and maintain hospital payer contracts using Experian Health's Contract Manager software, ensuring accurate modeling of reimbursement methodologies for claims and patient estimates. This role involves analyzing complex contract provisions, researching payer websites and regulatory sources, and validating system-generated valuations against client claims. The analyst will also ensure accurate contract implementation, respond to valuation-related support cases, participate in meetings, and contribute to process improvement initiatives.

Skills

Hospital Payer Contracts

Reimbursement Methodologies

Medicare

Medicaid

Workers Compensation

Commercial Payers

Contract Analysis

System Configuration

Data Analysis

Healthcare

Expedia

Travel booking platform for flights, hotels, rentals

About Expedia

Expedia Group operates in the travel industry, offering a wide range of services for travelers and travel-related businesses. It connects users with options for flights, hotels, car rentals, vacation packages, and activities through its various brands, including Expedia, Hotels.com, and Vrbo. Travelers can easily find and book trips that match their preferences and budgets. The company earns revenue primarily through commissions on bookings and advertising from travel service providers looking to promote their offerings. Additionally, Expedia Group supports its partners by providing access to valuable data and technology, helping them improve their operations and grow their businesses. The goal of Expedia Group is to create a seamless travel experience for users while maximizing the potential of its partners.

Bellevue, WashingtonHeadquarters

1996Year Founded

$3,277.3MTotal Funding

IPOCompany Stage

Consumer Goods, EntertainmentIndustries

10,001+Employees

Benefits

Competitive Paid Time Off

Travel Discounts

Healthcare Flexible Spending Accounts

Employee Assistance Program

Wellness & Travel Reimbursement

Workplace Accomodations

Medical, Dental, & Vision Insurance

Matching Gifts

New Parental Benefits

Risks

Riyadh Air's entry could increase competition, affecting Expedia's market share.

CFO transition may lead to strategic shifts impacting financial management and investor confidence.

Expedia's partnerships may strain resources, affecting service quality if not managed well.

Differentiation

Expedia offers a comprehensive suite of travel services under one platform.

The company leverages a diverse portfolio of brands like Hotels.com and Vrbo.

Expedia provides partners with valuable data and technology to optimize their offerings.

Upsides

Expedia can capitalize on the rise of 'workcations' with longer stay packages.

The trend of 'bleisure' travel offers opportunities for specialized leisure-business packages.

Increased demand for personalized travel experiences can enhance user engagement for Expedia.

Land your dream remote job 3x faster with AI

Try Jobo Free