Position: Provider Contract Setup Analyst

Category: Non-Exempt

Location: Hybrid – Can be at any of our locations

Salary Range: $39,072 - $48,795

Closing Date: Until Filled

Position Number: 17-01-505

Primary Purpose of Position: This position provides an important role in the contracts department by ensuring provider contracts are system compatible, loaded correctly, timely, and meet legal and business requirements. Assists with researching and drafting rate language for the provider contracts; enters specific contract data into the organization computer system; with great attention to detail; assures all contract specific information is correctly entered and tracked to support an accurate provider payment system.

Responsibilities and Duties:

• Works closely with internal departments and Contracts Administrator to develop and review complex pricing arrangements (i.e. value based arrangements, capitation, and fee-for-service), terms, and conditions.
• Analyzes and translates provider contract data into system requirements to set up and update new and existing providers in the system
• Identifies and analyzes rate setting process problems, and emerging needs.
• Assist Contracts Administrator with determining if fee schedules are appropriate and up to date.
• Coordinate with the IT Department for provider contracting system testing, forecasting demand, analyzing software performance, and tuning systems
• Position will conduct data clean up in electronic operating system to ensure accuracy
• Address provider questions and complaints related to contracting issues. Investigate consumer/provider service discrepancies

in contract details as requested and report findings.

• Assist Contract Administrator with onboarding and ongoing system training of the contract department.
• Interface with IT, Finance, and Analytics Department to ensure data integrity and accuracy of contract details and ensure that all required data is entered into Eastpointe electronic system, ensure the creation of the provider profile in accordance with all services the provider is credentialed to provide and all appropriate rates, data must be accurate and timely to support claims processing;
• Enter contract information into the contract data base; confirming system compatible, loaded correctly, timely and meet legal and business standards.
• Monitor and electronically track all contract fee schedules, rate changes and related documents. Ensure that contract database system functions properly to serve Eastpointe needs.
• Evaluate and make recommendations regarding contract requirements and modifications
• Develop a knowledge base of contracted providers and responsible for maintaining and ensuring tracking databases are up-to-date with current data on each service for State (IPRS) and Medicaid.
• Develops and maintains professional working relationship with co-workers and others
• Participate in and assist the Contracts Administrator in various Eastpointe projects.

Education/Experience: Bachelor's degree in accounting, business administration, or other curriculum that would provide a core curriculum in financial management coursework from an appropriately accredited institution; or Associate degree in accounting from an appropriately accredited institution and three years of accounting or auditing experience

Excellent Benefit Package to Include:

• Employer paid Health, Dental, Life and Long Term Disability Insurance
• NC Local Government Retirement System
• NC 401k with 4% employer match
• 12 paid holidays per year
• Monthly sick and vacation leave earnings