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Contract Pricing Analyst III - Per Diem in Orange at Prospect Medical Systems

Date Posted: 8/3/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Experience:
    Not Specified
  • Date Posted:
    8/3/2018
  • Job ID:
    10155

Job Description



Contract Pricing Analyst III

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Independently develops pricing models for proposals within Prospect Medical System on an ad-hoc basis. Provides consultation, analysis, and guidance to create pricing solutions to maximize profit. Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary services, etc.) contracting activities through financial and network pricing modeling, analysis, and reporting. Conducts contract valuation analysis in support of Contracting negotiations and cost management strategies.



Job Responsibilities/Duties

  • Independently develops pricing models as requested within Prospect Medical System for multiple types of providers (physician, hospital, pharmacy, ancillary services, etc.).
  • Analyzes data from multiple sources and integrate into interactive pricing models including but not limited to clinical, quality, financial, and claims data ae needed.
  • Identifies and documents reporting requirements, extracts and manipulates data from databases, and performs acceptance and QA testing as needed.
  • Collaborates with management team in analysis, requiring expertise in procedure codes and claims, identifying problem areas.
  • Develops analysis to identify cause of problem and facilitate a resolution.
  • Performs and leads special projects as assigned.


Qualifications

Minimum Education: Bachelor's degree or equivalent education and experience in business, finance, economics, mathematics, or related field required. 

Minimum Experience: Two or more (2+) years of experience in financial analysis, claims pricing, network management, or economics in the health care environment required. Two or more (2+) years of experience in provider payment methodologies and healthcare products required. Two or more (2+) years of experience presenting findings to management required.

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

Keywords: Legal, DSS, Contract Pricing, Analyst