Benefits Systems Analyst - Healthcare jobs in South 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
  • Sioux Falls, SD 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: Cherapa Place Building

    Location: Sioux Falls, SD

    Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA

    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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Business Systems Analyst
  • Elite Executive Partners
  • Point, SD FULL_TIME
  • The role of the Business Systems Analyst encompasses a range of responsibilities to oversee the efficient operation of core business systems. This entails effectively managing projects related to crit...
  • 4 Days Ago

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Systems Analyst / Programmer
  • UNIV OF SIOUX FALLS
  • Sioux Falls, SD FULL_TIME
  • Position: Systems Analyst / ProgrammerClassification: Full-time/Exempt/12-month Department: Information Technology The University of Sioux Falls invites applications for a full-time, on-ground Systems...
  • 15 Days Ago

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Financial Analyst Intern - Spring/Summer 2024
  • BAE Systems
  • Aberdeen, SD INTERN
  • Job Description How does it feel to work on a team driven to make a big impact? Empowering. We believe your career should always be growing. And that’s exactly what it will do at BAE Systems. You'll h...
  • 25 Days Ago

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DIR, NUTRITION SYSTEMS I
  • Morrison Healthcare
  • Rapid, SD FULL_TIME
  • Morrison Healthcare Position Title: DIR, NUTRITION SYSTEMS I- Rapid City, SD Reports To: Director of Dining Morrison Healthcare is a leading national food and nutrition services company exclusively de...
  • 4 Days Ago

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Agency Sales Manager
  • Antrobus Benefits
  • Brandon, SD FULL_TIME,OTHER
  • We are looking for high-performing, motivated individuals for Agency Manager roles. Aspiring leaders looking for a supportive culture with flexible training options both virtually and in person will t...
  • 1 Month Ago

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Benefits Analyst
  • Convey Health Solutions
  • Fort Lauderdale, FL
  • Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and prov...
  • 3/29/2024 12:00:00 AM

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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

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Analyst - Healthcare jobs
$49,295 to $65,339