Benefits Systems Analyst - Healthcare jobs in North Dakota

Benefits Systems Analyst - Healthcare implements and maintains benefits system for managed care and provider data. Runs analysis to verify accuracy of system. Being a Benefits Systems Analyst - Healthcare assists with training of fee loading processes and ensures coding and schedules are accurate. Requires a bachelor's degree. Additionally, Benefits Systems Analyst - Healthcare typically reports to a manager or head of a unit/department. The Benefits Systems Analyst - Healthcare contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Benefits Systems Analyst - Healthcare typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Senior Reimbursement Analyst - Healthcare
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us!

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Remote ND (Fargo)

    Location: Fargo, ND

    Address:

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $27.50 - $44.00

    Department Details

    Hybrid, remote work

    Job Summary

    The Senior Reimbursement Analyst provides critical analytical and reimbursement related guidance and support to all operating segments across the Sanford Health enterprise. Participates in analyzing and implementing new payment methodologies in order to establish optimal reimbursement and payment levels. Recommends policies and procedures for reimbursement functions including estimating, modeling and reimbursement functions, which includes Medicare, Medicaid or other third party cost reports, related audits, appeals, disproportionate share hospital (DSH) programs, drug discount programs (340B) and CPT/HCPS code changes.

    Coordinates the impact analysis of payor proposed and final Medicare and Medicaid regulation changes. Coordinates the impact analysis of payor contract changes during negotiations and finalizations of contracts. Prepares third party payor contracts in Experian and Contract Maintenance (i.e. hospital and clinic payment integrity tools). Develops reports for the annual pricing and fee schedule updates including impacts on physician compensation. Assists in the annual budgeting and audit process such as monthly discounts, year-end discounts and third party reserves.

    Provides on-going support of operations and CDM team in maintaining chargemasters, particularly as it relates to setting up new codes and establishing prices. Assists in on-going pricing initiatives across the enterprise. Produces reports, analyzes and integrates data alongside completing other projects accurately and efficiently. Possesses strong attention to detail. Promotes integrity and confidentiality of data when sharing with others. Summarizes, presents and explains data in useful and understandable formats. Accepts and responds to questions and challenges regarding information provided. Maintains relationships with finance and accounting staff across the enterprise. Serves as a resource for individuals while providing reimbursement and accounting support. Reviews and updates policies and procedures when directed.

    Qualifications

    Bachelor’s Degree in Business Administration, Finance, Healthcare Management, Information Technology (IT) or related field.

    Experience in health care related to claim editing, groupers, provider reimbursement and methodologies (MS/APR DRG; APC, EAPG, CPT/HCPCS) industry standard coding and payment rules. Minimum five years of related work experience, preferably in hospital, clinic or insurance finance and/or managed care reimbursement.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0177850

    Job Function: Finance

    Featured: No

  • 1 Month Ago

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ERP Business Systems Analyst
  • The MasTec Companies
  • Fargo, ND FULL_TIME
  • Overview Responsible for contributing to the success of Clean Energy & Infrastructure (CE&I) by providing business systems decision support to the organization to drive business growth and improve pro...
  • 15 Days Ago

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Employee Benefits Financial Analyst
  • Hub International
  • Fargo, ND OTHER
  • Great opportunity to start a career in the insurance industry! Are you a bright, outgoing, people-oriented person? If so, this is the career for you. At HUB, we value education and continuous learning...
  • 9 Days Ago

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Medsurg Tele RN, Minot North Dakota
  • Valley Healthcare Systems
  • Minot, ND FULL_TIME
  • Company DescriptionValley Healthcare Systems provides exceptional healthcare staff with the opportunity to broaden their experience and skill set with opportunities at some of the top hospitals and fa...
  • 13 Days Ago

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Laundry Aide
  • MCKENZIE COUNTY HEALTHCARE SYSTEMS, INC
  • Watford City, ND FULL_TIME
  • McKenzie County Healthcare Systems has a full time opening for a Laundry Aide! McKenzie County Healthcare Systems consists of a Critical Access Hospital, Surgical Department, Rural Health Clinic, Nurs...
  • 9 Days Ago

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New Business Independent Agent
  • Brite Side Benefits
  • Fargo, ND FULL_TIME
  • Are you passionate about paving your own way? Brite Side Benefits is seeking a driven person to pioneer a new business opportunity!About Brite Side Benefits: 1. We provide incredible employee benefits...
  • 2 Days Ago

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Benefits Analyst
  • PulteGroup, Inc.
  • Atlanta, GA
  • JOB SUMMARY: Provide administrative and analytical support to the Company group benefit programs (group health, dental, ...
  • 3/28/2024 12:00:00 AM

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Benefits Analyst
  • Sonesta International Hotels Corporation
  • Orlando, FL
  • Job Description Summary The Benefits Analyst utilizes strong organizational and project coordination skills to own the r...
  • 3/28/2024 12:00:00 AM

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Employee Benefits Analyst
  • Atlantic Group
  • Philadelphia, PA
  • Job Overview - Employee Benefits Analyst: As an Employee Benefits Analyst, you will collaborate closely with a diverse r...
  • 3/27/2024 12:00:00 AM

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Benefits Analyst
  • Manpower
  • Sacramento, CA
  • Our client, Sacramento is seeking a Benefits Analyst to join their team. As a Benefits Analyst, you will be part of the ...
  • 3/27/2024 12:00:00 AM

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Part Time Employee Benefits Analyst
  • Roach Howard Smith & Barton
  • Dallas, TX
  • Help Us Make a Difference! Founded in 1945, RHSB's goal is to put our client's needs first. We are a close-knit team ded...
  • 3/25/2024 12:00:00 AM

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Benefits Analyst
  • Manpower
  • Orange, CA
  • Job Title: Sr. Benefits Analyst Location: Orange, CA Pay Rate (or Pay Range, if required): $51.66/hr. What’s the Job? Se...
  • 3/25/2024 12:00:00 AM

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Benefits Analyst
  • Dominicans - Province of St Albert the Great
  • Chicago, IL
  • The Dominican Province of St Albert the Great and their Province Center staff is growing. We are seeking a Benefits Anal...
  • 3/25/2024 12:00:00 AM

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Benefits Analyst
  • Gypsum Management and Supply
  • Tucker, GA
  • Position Summary: The Benefits Analyst is responsible for assisting with the administration of all benefits programs, in...
  • 3/24/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Analyst - Healthcare jobs
$53,715 to $71,196