Job Information
HCA Healthcare Business Analyst II in Nashville, Tennessee
Description
Introduction
Do you want to join an organization that invests in you as a Business Analyst II? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
Benefits
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Business Analyst II like you to be a part of our team.
Job Summary and Qualifications
Under the supervision of the AVP of Payer Contracting and Alignment (PCA), and on behalf of HCA Physician Services (PSG), Urgent Care, and Hospital Based Physicians in their respective market; As a Business Analyst II, you will coordinate and assist in all Commercial, Managed Medicare and Managed Medicaid, Behavioral Health, Direct Employer and Workers Compensation Payor negotiations. You will complete contract reviews and compliance activities in support of the Managed Care strategies and business. You will provide support to PCA Director, market practices and Parallon with Payer escalations related to systemic enrollment and claims related issues.
Job Responsibilities:
Assist the Director of Payer Contracting and Alignment in the development and implementation of a market-specific physician/payer contracting strategic plan.
Provide physician/payer contracting support and expertise by attending scheduled meetings with operations leadership with the Division/Market/Practice Management and Payers within the respective market area.
Under the guidance of Director of Payer Contracting and Alignment, coordinate and administer managed care contract negotiation process for designated Division/Market /Practice Management or as assigned.
Maintain permanent record of all payer contracts and fee schedules, Monthly Operating Report, status updates and support related service center payer contract compliance efforts.
Prepare as necessary and audit for accuracy fee schedules for internal and external parties.
Prepare and distribute regular reports including, but not limited to: Division/Market physician rosters, payer rosters reflecting status of new and outstanding physicians, Division/Market payer matrix, summary of negotiating activities for a period, and other reports as requested by Director or VP of Payer Contracting and Alignment.
Prepare Action Plans for use by Provider Enrollment to credential and enroll physicians with payer plans and provide support as needed in the enrollment process to ensure timely enrollment of physicians.
Provide payer rate/contract support and analysis in practice pre-acquisition due diligence process
Work with payers to resolve issues related to claims or enrollment, as escalated by Provider Enrollment or Practice Management/Division Operations.
Educate and mentor peers in job duties and assist AVP with certain onboarding activities including but not limited to systems training.
Perform special projects as assigned by management.
Administer company’s guidelines for payer contracting and compliance.
Maintain knowledge of state and federal legislative and regulatory laws and rules regarding managed care.
Job Requirements:
Bachelor’s Degree is Required
3+ years of experience in relative role is required
1+ year(s) of experience in managed care, preferably with prior experience in contract analysis and negotiations. Business office experience preferred.
Financial analysis and advanced knowledge of Excel
Negotiation skills
Knowledge of Managed Care Environment
Familiarity with Physician/Payer contract language
Good communication and organization skills
Business office operations
HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Business Analyst II opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.