It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: At SSM Health, we know the healing power of presence begins with compassionate employees like you. If you love people SSM Health is the place for you. Our mission and values put the patient first and place you in a position to improve each day. Job Summary: Performs analysis and reporting regarding financial operations and information. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES 1. Organizational Responsibilities Mission, Values and Standards of Ethical Conduct Exceptional Service – Patient/Customer Exceptional Engagement – Physician/Employee Exceptional Performance – Financial/Growth/Development 2. Serves as subject matter and technical expert in the use of the nThrive Contact Manager analysis software tool. 3. Coordinates and collaborates with nThrive personnel and SSM IHT staff to ensure optimal performance of the nThrive tool. Serves as liaison between SSM Health managed care and nThrive. Provides updated contract information to nThrive timely to ensure system is regularly updated for the enterprise. 4. Run and analyze reports to model managed care contracts and works with the PBS and SSM managed care representatives to provide payor analytics. Escalates payor challenges to senior PBS, managed care, and finance leaders, as necessary. 5. Communicate contract issues and opportunities to managed care and finance leaders to ensure payor deficiencies can be addressed via contract negotiation. Participate in such negotiations or other payor meetings as requested. 6. Immediately notifies Fee Analyst/Pricing Coordinator of any reimbursements at “the lower of” to ensure the SSM fee schedules are promptly updated to ensure full capture of contracted reimbursement rates. 7. Is watchful for special billing issues and trends and shares with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement. 8. Works collaboratively with other PBS and finance departments to share feedback and ensure high functioning revenue cycle processes. 9. Performs any special assignments, as requested. EDUCATION Bachelor's degree EXPERIENCE Four to seven years' experience required Department: 8764020033 Managed Care-Finance Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 SSM Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Learn more here Through our exceptional health care services, we reveal the healing presence of God. SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s more than 40,000 employees and 10,000 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 24 hospitals, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.