Expedia

Senior Contract Definition Analyst - Healthcare (Remote)

New Orleans, Louisiana, United States

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.

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