Provider Contracts Analyst II

With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.

The Provider Contracts Analyst II (Remote) is responsible for maintaining payer and reimbursement data in the Hanger Next Gen system, supporting Contract Managers and National Account Managers in loading new payer/pricing data, supporting the M&A team in loading newly acquired locations/contracts to Next Gen and maintaining master fee schedules for contracting and coordination with Clinical Services as necessary.

• Work with Clinical Services for all code maintenance
• Maintain master fee schedule for contracting
• Maintain and update Next Gen with updated rates based on annual Medicare updates
• Maintain and update Next Gen with updated rates based on U&C as necessary
• Work with Contract Manager and National Account Managers on maintaining/updating all fee schedule and contracts in Next Gen
• Work with Administrative Manager on updates to WC/Medicaid fee schedule
• Maintain/update all service items in Next Gen
• Auditing all SIM library configurations in Next Gen prior to roll-out date by location
• Assist with the creation and analyst of fee schedule for contract manager and National Account Managers
• Assist IT in testing new versions/applications
• Work with IT with enhancements for Next GenMaintain contracted payer records in Next Gen
• Research and create non-contracted payers as required Next Gen
• Maintain pricing regions linking payers/reimbursements to contracted locations
• Maintain locations connected to non-contracted payers
• Research and load new locations to pricing regions and acquisition contracts in Next Gen
• Inactivate and remove payers/contracts when new contracts supersede
• Prepare contract reports as needed
• Organize nightly approval process
• Prepare reports on contracts, pay sources and contract approvals
• Maintain Veterans Administration contracts in SalesForce
• Maintain web portal logins for local Hanger offices for contracted payers as required
• Test, load and develop support for Fee Factory
• Load contracts to Fee Factory
• Assist Contract Managers with validating contract data in Salesforce.com
• Maintain Veterans Administration contracts in SalesForce
• Work on special projects as needed

Required

• Bachelor’s degree in related field or equivalent experience
• Minimum of 2 years of related experience

Preferred

• Billing and coding experience or training
• Provider servicing and/or contracting experience in a managed care environment

• Expert knowledge and understanding of payment, pricing and reimbursement methodologies
• Superior verbal, written, organizational and analytical skills
• Software application knowledge including proficiency in Microsoft Office suite, particularly MS Excel
• Aptitude for navigating Claims/Practice Management systems
• Excellent customer service and interpersonal skills
• Proven track record as team player and ability to multi-task
• Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
• Keep the patient at the center of everything that you do, building lifelong trust.
• Foster open collaboration and constructive dialogue with everyone around you.
• Continuously innovate new solutions, influencing and responding to change.
• Focus on superior outcomes, and calibrate work processes for outstanding results.

#LI-Remote

Pay range of $48,000 to $72,000 + annual bonus: up to 5% of base pay depending on bonus criteria.  This pay range is posted to comply with wage transparency laws.  Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables

• Competitive Compensation Packages
• 8 Paid National Holidays & 4 additional Floating Holidays
• PTO that includes Vacation and Sick time
• Medical, Dental, and Vision Benefits
• 401k Savings and Retirement Plan
• Paid Parental Bonding Leave for New Parents
• Flexible Work Schedules and Part-time Opportunities
• Generous Employee Referral Bonus Program
• Mentorship Programs- Mentor and Mentee
• Student Loan Repayment Assistance by Location
• Relocation Assistance
• Regional & National traveling CPO/CO/CP opportunities
• Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest

Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.

#ERF-HRC