Lead Associate

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone. 

About the role: 

We are looking for a Payor Contract Analyst to join the Contract Modeling division of our Rules and Contracts team. This team is primarily responsible for developing, analyzing, and maintaining contract models in Cloudmed’s new proprietary contract modeling engine, CloudmedAI™. As a Payor Contract Analyst, you will develop expertise in payor contract structures and contract modeling, resolve continuous improvement requests from project teams, and collaborate with team members on new initiatives in a rapidly growing environment with tight deadlines.

Requirement :

• Min  2 + years of experience in Contract Creation , modeling, reimbursement models and methods

• Review and interpret payor contracts to identify all relevant information influencing reimbursement rates and terms. 
• General understanding of US healthcare payors, billing, coding;
• Good analytical, organizational and time management skills;
• Skills to read, understand and interpret reimbursement contracts between hospitals and insurance providers;
• Enter all terms and details of contract into proprietary software tool to execute pricing;
• Analyze contract modeling engine results to validate reimbursement rates and terms have been built and configured correctly relative to client data and other system inputs; 

• Effectively communicate the findings with recommendations to project team;

• Develop deep expertise in payor contract modeling, lead sites and maintain accuracy and coverage for databases.
• Preferably graduate degree in Statistics / Mathematics / Economics / Commerce / Finance from a reputed educational institute

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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