Reimbursement Analyst Salary in USA

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!!We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary Responsible for supporting provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Analyzes claims, utilization, and medical cost data. Supports the development of strategic, cost effective programs, and makes system or network changes to enhance competitive position. This role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. Provider Services leadership will use these findings to make informed decisions regarding financial goals tied to provider reimbursements.Education & Experience Required: • Bachelor's degree in Business Administration, Finance, Healthcare, Information Management or equivalent experience • 3 years' experience in healthcare analysis, data management or equivalent • Strong knowledge of CMS coding and provider reimbursement methodologies • Proficient in Microsoft Office suite, with an emphasis in Excel and data analysis and reporting • Working knowledge of structured query language (SQL), and SQL Reporting Services (SRS) Preferred: • Quality or Process Improvement experience • Experience with data visualization tools such as Tableau, Power BI, etc. • Government claims experience • Work with alternative payment modelsKey Responsibilities • Assesses provider payments against TriWest targets for reimbursements to include discounts and alternative payment models (APMs, e.g. pay for performance) Acquires claims data from primary or secondary data sources. • Identifies, analyzes, and interprets trends or patterns in complex claims data sets and provider data files • Develops visualizations and presentations to summarize and explain data findings or reimbursement issues. • Evaluates the completeness and accuracy of claims data. • Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings. • Define problems, collect claims data, establish facts, analyze claims data, and report the findings to appropriate stakeholders. • Collect, aggregate and disseminate data in understandable, digestible, and useful ways across the organization. • Will effectively present claims data information and respond to detailed claims payment or coding questions from varied internal or external groupsCompetencies Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach. Information Management: Ability to manage large amounts of complex information easily, communicate it clearly, and draw sound conclusions. High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Advanced analytical skills; knowledge of fundamentals of accounting and sound business processes; extensive knowledge of Microsoft Excel; proficient with Word; process diagram and documentation experience preferred; research and project management skills.Working Conditions Working Conditions: • Favorable working conditions in a climate-controlled office space • May work within an office environmentCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $87,000 - 97,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities (AK, AR, AZ, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only)Job Summary The Coding & Reimbursement Analyst supports claims payment accuracy and waste reduction initiatives by collecting, aggregating, and analyzing claims data from multiple systems. This role requires documenting, reporting, and communicating information, as well as performing claims data analysis to mitigate risks while identifying patterns and trends. The Coding & Reimbursement Analyst has a strong understanding of claims coding and payment methodologies as well as data analytics. This position is responsible for turning claims adjudication and provider billing data into meaningful information, which Claims Admin leadership will use to make informed decisions to improve claims quality, efficiency, and Government contract(s) adherence.Education & Experience Required • Bachelor's degree in Business Administration, Finance, Healthcare, Information Management or equivalent experience • 3 years' experience in healthcare analysis, data management or equivalent • 3 years' experience in a claims environment, with a strong knowledge of CMS coding and reimbursement methodologies • Proficient in Microsoft Office suite, with an emphasis in Excel and data analysis and reporting Preferred • Quality or Process Improvement experience • Experience with data visualization tools such as Tableau, Power BI, etc. • Working knowledge of structured query language (SQL), and SQL Reporting Services (SRS) • Government claims experience • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)Key Responsibilities • Acquires claims data from primary or secondary data sources. • Identifies, analyzes, and interprets trends or patterns in complex claims data sets. • Develops visualizations and presentations to summarize and explain claims data findings or quality issues. • Evaluates the completeness and accuracy of claims data. • Works closely with Claims Admin leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings. • Must have strong problem-solving and decision-making skills. • Ability to define problems, collect claims data, establish facts, analyze claims data, and report the findings to appropriate stakeholders. • Ability to collect, aggregate and disseminate data in understandable, digestible, and useful ways across the organization. • Will effectively present claims data information and respond to detailed claims payment or coding questions from varied internal or external groups.Competencies Technical Skills Advanced analytical skills; knowledge of fundamentals of accounting and sound business processes; extensive knowledge of Microsoft Excel; proficient with Word; process diagram and documentation experience preferred; research and project management skills. Team-Building / Team Player Influence the actions and opinions of others in a positive direction and build group commitment. Problem Solving / Analysis Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Organizational Skills Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented. Information Management Ability to manage large amounts of complex information easily, communicate it clearly, and draw sound conclusions. High Intensity Environment Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow. Coping / Flexibility Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach. Computer Literacy Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Communication / People Skills Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.Working Conditions • Favorable working conditions in a climate controlled office space • May work within an office environmentCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $95,000 - $102,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Bring your drive for excellence, team orientation and customer commitment to Independence Blue Cross; help us renew and reimagine our business and shape the future of health care.  Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team.  If this describes you, we want to speak with you. Position Responsibilities: ·       Utilizing general understanding of reimbursement methodologies and trends in managed care finance, support the development of reimbursement and contracting strategies. ·       Working under general direction, perform provider reimbursement and contracting analyses to support provider network maintenance and development. ·       Translate complex and technical analyses into concise and easily understood findings to support contract, reimbursement and/or policy recommendations. ·       Works closely with provider contracting to memorialize negotiated reimbursement terms into rate exhibits and payment notes. ·       Leveraging detailed analyses, uses the findings to identify trend drivers and develop actionable items intended to adjust reimbursement levels to market levels leveraging available payment methodologies. ·       Working independently and/or as part of a team, identify and present cost avoidance and cost recovery opportunities. ·       Provide professional and technical assistance to internal and external customers, including, but not limited to, interpretation / implementation of regulations and contractual language, provider payment systems, and support for Blue Cross strategic initiatives. ·       Effectively communicate with customers project status, analysis findings, issue resolution to manage expectations. ·       May be responsible for acting as a team/project leader and training other staff in applicable areas of demonstrated expertise. ·       Performs other duties as assigned. Position Qualifications ·       Bachelor’s Degree in Business, Finance, Health Care Management, Information Science, or health-related field/commensurate work experience. Master’s degree preferred. ·       Minimum 5 years progressive experience, preferably in managed care or provider environment. ·       Strong analytical, technical, and problem-solving skills. ·       Familiarity with managed care and/or Medicare reimbursement terms, concepts, and methodologies. ·       Excellent verbal and written communication skills required. Must be comfortable working with and presenting to all levels of management. ·       Ability to work independently and as part of cross functional teams. ·       Strong organizational skills and ability to manage multiple projects simultaneously. ·       Aptitude for detail-oriented work.  ·       Strong interpersonal skills and the ability to work in a team environment required.  ·       Advanced proficiency in the use of Microsoft Access, Excel, and Word. Must have experience manipulating and analyzing claims data and be familiar with reimbursement terms and concepts. Knowledge of SQL preferred. .

Job DetailsSUMMARYHSAG is nationally recognized as an industry leader in the areas of healthcare data analysis, measure development, and survey research. We are in search of talented individuals who are interested in a career in analytics as an Analyst III in HSAG's Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better. UNIQUE BENEFITSThe Analyst III position benefits from HSAG's desire to grow its staff into leaders of healthcare quality improvement in the nation. During the first year, new HSAG analysts are provided formal internal training in statistics, machine learning, clinical epidemiology, SAS, Tableau, healthcare data, and an assortment of healthcare-related topics. The Analyst III position also offers the opportunity to mentor and supervise junior-level staff.HSAG offers:A comfortable work-life balance and flexible work schedules.Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a "jump start" on holiday festivities.HSAG offers a competitive benefit package that includes medical, dental, vision, tuition reimbursement and 401(k). DESCRIPTIONThe Analyst III position is a key contributor to cutting-edge analytic work that spans the broad spectrum of healthcare data projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, the Analyst III position helps lead components of innovative analytic plans that are intended to provide healthcare decision and policy makers with the necessary information to transform healthcare. HSAG analysts in the Data Science & Advanced Analytics division assist in designing a wide array of analytic studies and participate in all phases of the research design process. Analysts may work with a wide array of data to facilitate data exploration, including (but not limited to) the following data types:surveycase reviewmedical and prescription drug claims and encounterseligibilitydemographicclinicalelectronic health recordregistryvital statisticsoperationalDetails regarding potential project assignments and key sources of data will be discussed with candidates during the interview process.ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIESServe as an integral part of HSAG Data Science & Advanced Analytics division.Lead small- to medium-sized analytic tasks or projects, while providing support to other analytic tasks or projects.Understand primary types of healthcare data and methods for approaching data assessments.Evaluate a wide array of data types.Conduct and interpret analyses, develop appropriate statistical models, manipulate complex databases, and track and evaluate patterns of care and outcomes.Perform data validation, develop and implement analytic plans, and cross reference data.Attend, participate, and assist in team training meetings.Present and communicate project results to nonanalytic staff members and customers. Represent HSAG in a professional manner at all times. Compensation: 85000 Based on ExpJob Requirements:EDUCATION AND/OR EXPERIENCEBachelor's degree in a quantitative discipline (e.g., math, statistics, economics, and epidemiology). Master's degree preferred. A minimum of four (4) years of work experience.At least three (3) years of healthcare experience.At least three (3) years of statistics and/or quantitative analysis experience.OTHER QUALIFICATIONSExpert in the use of SAS software for statistical programming. SAS certification preferred.Proficient in the use of SQL.Experience working with relational databases.Experience contributing to report writing and formal written deliverables, including serving as the lead writer/major contributor to a formal written deliverable.Some proposal experience in a supporting role.Some experience mentoring junior-level staff.Proficient in Microsoft Word and Excel.Excellent verbal and written communication skills.Ability to handle several projects simultaneously and work with multiple teams.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.DISCLAIMERThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).HSAG is an EEO Employer of Veterans protected under Section 4212. If you have special needs and require assistance completing our employment application process, please feel free to contact us.EOE M/F/Vet/DisabledGet job alerts by email.Sign up now!

Employment Type:Full timeShift:Day ShiftDescription:Prepares analyses and provides analytical support for Reimbursement duties. Responsibilities include retrieving, maintaining, analyzing, and reporting data from various Holy Cross Health systems for purposes of disseminating financial and clinical information within the institution. Preparation and submission of various compliance documents and data, development and maintenance of monitoring tools to ensure compliance and routine revenue analysis to ensure proper reimbursement, etc. Supports the mission of Trinity Health and Holy Cross Health.Job Title:Reimbursement AnalystEmployment Type:Full-TimeShift:Days(SUMMARY) Position Highlights:Competitive payAdditional Benefits: tuition reimbursement, free parking, employee discountsQuality of Life: Flexible work schedulesAdvancement: professional growth within the organizationLocation: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description:Monday-FridayResponsibilities:Prepares analyses and provides analytical support for Reimbursement duties.Responsibilities include retrieving, maintaining, analyzing, and reporting data from various Holy Cross Health systems for purposes of disseminating financial and clinical information within the institution.Preparation and submission of various compliance documents and data, development and maintenance of monitoring tools to ensure compliance and routine revenue analysis to ensure proper reimbursement, etc.The Reimbursement Department is located offsite so there will be driving to and from each hospital's main campus as needed for meetings, etc.May be required to vary work hours and days to accommodate needs of the organization.Other duties as assigned by the department ManagerWhat you will need:Two to three years of financial analysis experience in a hospital/healthcare environment is required. Bachelor's degree, preferably in Accounting or Finance, is required from an accredited universityMust have strong computer skills using MS Excel, Word and Access and the ability to learn various software applications. Experience using decision support software systems, Financial Reporting or Cost Accounting systems and/or software is preferred.Understanding of finance and accounting concepts/principles preferred.Comprehensive understanding of Maryland reimbursement system and/or federal reimbursement regulations required.Strong customer service and communication skills are essential for responding to requests and explaining analyses.Independent judgment and insight needed to evaluate situations correctly as well as foresight to avoid issues.Analytical skills, strong attention to detail, an ability to work under pressure and to meet deadlines, and an ability to function as part of a team are essential.Strong organizational and problem-solving skillsExcellent oral and written communication skills are required with the ability to deal with information of a confidential nature.About us:Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties - Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.We were named one of America's 100 Best Hospitals for 2021.Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) statusOur Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

The Team We are seeking a Reimbursement Analyst to join American Tower’s U.S. Tower division’s Expense Reimbursement team within the Finance Business Operations group. The Expense Reimbursement team analyzes asset-level expenses incurred by the U.S. Tower division and coordinates internally to receive reimbursements from our customers. Day to day you will focus on analyzing SG&A,; capital, and repair and maintenance expenses to determine which are eligible for reimbursement based on shared benefits or contractual obligations. As an Reimbursement Analyst, you will partner cross-functionally and provide easily consumed requests for reimbursement which are well-documented and supported.   Our Core Principles are the foundation of our culture, and we’re focused on achieving continued success by thinking long-term, leading with values, and creating value with decisions. Come grow your career with us!

Senior Dispute Resolution AnalystDate: Mar 13, 2024Location: Palm Beach Gardens, FL, US, 33403Company: TBC CorporationCompany OverviewWith $5 billion in revenue and 3,800+ employees in the U.S., Mexico and Canada, TBC Corporation is a leader in the mobility industry and one of North America’s largest marketers of automotive replacement tires through wholesale and franchise operations. TBC serves wholesale customers in the United States, Canada and Mexico through TBC Brands, NTW, TBC International, and TBC de Mexico. Additionally, TBC responds to the needs of consumers in search of total car care at more than 2,000 franchised tire and automotive service centers under the Big O Tires and Midas . TBC is headquartered in Palm Beach Gardens, Florida.TBC markets on a wholesale basis to regional tire chains and distributors serving independent tire dealers throughout the US, Canada, and Mexico. TBC has 20 proprietary brands of tires specializing in passenger, commercial, farm and specialty tires. In 2005, TBC Corp. was purchased by Sumitomo Corporation of America (SCOA). SCOA is the largest subsidiary of Sumitomo Corporation, one of Japan’s major integrated trading and investment business enterprises. In 2018 Michelin, the largest tire manufacturer in Europe, invested in the company which is now a 50:50, privately held joint venture between Sumitomo and Michelin.DescriptionThe SR. Dispute Resolution Analyst for TBC Corporate Services will be responsible for actively working and resolving customer-initiated invoice disputes with a variety a reasons; including: freight, pricing, product return, warranty repair, tax and unearned discounts.This role will be a Hybrid work environment.Job ResponsibilitiesAssist in developing and standardizing written policy as well as electronic reporting as it pertains to customer-initiated invoice disputesCoordinate resolution with external customer(s) and various internal department to the like of Credit, Sales, Customer Service, and TransportationResearch and resolve customer disputes to facilitate payment or issuance of credit to customer invoicePerform research in SAP to identify issues with customer billings by creating queries to obtain detailed information for solving the discrepanciesInitiate process improvement and quality reviews to simplify and improve productivityNegotiate proper documentation in an effort to facilitate timely paymentsResolve collection issues with customers with difficult or highly sensitive problems by reconciling their AR accountAssist in the review/release of credit holds when necessarySupport TBC Code of Business ConductOther duties as assignedQualificationsHigh school diploma or equivalent, college degree or some college preferredA minimum 5 years’ experience in Credit and Collections (B2B)Strong computer skills- Word, Excel, PowerPoint, and SAPProficient in the reconciliation of Accounts Receivable accountsExcellent written and verbal communication skillsAbility to manage relationships both internally and externallyStrong problem solving and customer service skillsAble to work in a fast-paced environmentBilingual language skills in Spanish/English are a plusBenefitsCompetitive compensation and bonusTuition reimbursement401k plan with a company match. Immediate 100% vestingComprehensive benefits including medical, dental and visionCompany paid short term disability and employer subsidized long term disabilityCompany paid life insuranceDiscounted tire servicesTBC Corporation is an Equal Opportunity Employer and maintains a Drug-Free Work Environment.

ABOUT US:With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. OUR BENEFITS:In addition to competitive pay, all Cooley Dickinson employees who work 20 hours or more per week have access to the following benefits with no waiting period:A range of health, dental, vision, prescription, and life insurance benefits.A generous and flexible Earned Time Off program starting at six weeks accrual per year.403(b) retirement plan with various investment options.Opportunities and support for continued education including tuition reimbursement.SHIFT: Monday - Friday 8:00am-4:30pm, Hybrid 2 days onsite and 3 days remote (after 90 days of successful onsite training) MAIN FUNCTION: The Third Party Reimbursement Analyst maintains Cooley Dickinson Hospital's contract management systems. The Analyst works closely with Finance, Patient Accounting, and the Reimbursement Department staff for both the Hospital and the Physician Billing Departments on contract and billing issues as well as other reimbursement related tasks. The Analyst collaborates with Massachusetts General Brigham Contract Management Staff and Reimbursement teams. The Third Party Reimbursement Analyst also develops strong working relationships with the managed care organizations and third party payers in attempts to collect amounts due the hospital. This position reports to Manager of Patient Accounting and operates within established organizational and departmental policies and procedures. ESSENTIAL JOB FUNCTIONS:Lead the activities related to the Harvest Contract Management System and coordinate information between Fiscal Services and the Payer contracting teams. Oversee the daily import and reconciliation, maintenance (contract terms, conditions, rates and mapping), and reporting of the contract management system and maintaining related documentation. Review and monitor payer billing policies, produce data to support various initiatives, including but not limited to identifying payer and claim related issues, develop financial analyses and support Fiscal Services, Payer Contracting and Revenue Cycle management teams at routine payer meetings. Investigate, research, and reconcile payments received from managed care organizations and other third party payers to assure payments are correct and within established terms for both the Hospital and CDMG. Maintain correct rates in the contract monitoring system, working to resolve discrepancies with payers and/or reimbursement staff. Collaborate with MGB contracting and reimbursement staff to remain in sync with the overall system. Develop processes to maintain the database in both contract management systems of CDH and CDMG to make available the best possible information around contracted services to be used by billing staffs, reimbursement staffs, strategic planning, and MGB payer relations. Provide analysis or support work as requested by reimbursement, billing and/or contract staff for both CDH and CDMG. Prepare/reconcile daily exception reports from third party reimbursement monitoring system. Using output from the third party reimbursement monitoring system that identifies incorrect payments received, contact the various third-party payers to collect underpayments according to hospital and departmental policy and procedures. Work with patient accounting staff to identify and refund overpayments made by third party payer organizations. Function as departmental third party reimbursement resource for questions relating to reimbursement, rates, and payment appropriateness. Assist in the development of financial models as needed by strategic planning or reimbursement staffs. Attend payer meetings and other reimbursement related meetings both with MGB and externally to stay up to date on current issues and to represent CDH and CDMG as required. Provide reporting and analysis as required by billing, reimbursement, or finance departments for CDH and CDMG. Work with billing staff as needed to address problem claim edits or suspensions by third party payer organizations. Maintain established hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control, and environmental standards. Maintain professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations, or journals to stay abreast of current trends in field of expertise. Meet annual competency and retraining requirements. Attend meetings as required. Perform other functions/duties as requested.Qualifications Mininum Requirements:High school diploma or equivalent required; college degree preferredFive to seven years previous healthcare billing or third party claims processing experience requiredDemonstrated proficiency in third party contract and payment methodologiesDemonstrated proficiency with computers and spreadsheet applications requiredCandidate must be detail oriented, and self-driven with outstanding interpersonal skills and advanced analytical skillsEEO Statement It is the policy of Cooley Dickinson Health Care to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Cooley Dickinson Health Care will provide reasonable accommodations for qualified individuals with disabilities. Cooley Dickinson Health Care embraces diverse skills, perspectives and ideas, and encourages people of color, veterans, people with disabilities, LGBTQ candidates, and people from other underrepresented groups to apply.

JOB DESCRIPTION FirstEnergy at a GlanceWe are a forward-thinking electric utility powered by a diverse team of employees committed to making customers' lives brighter, the environment better and our communities stronger. FirstEnergy (NYSE: FE) is dedicated to integrity, safety, reliability and operational excellence. Headquartered in Akron, Ohio, FirstEnergy includes one of the nation's largest investor-owned electric systems, more than 24,000 miles of transmission lines that connect the Midwest and Mid-Atlantic regions, and a regulated generating fleet with a total capacity of more than 3,500 megawatts.About the OpportunityThis is an open position with FirstEnergy Service Company, a subsidiary of FirstEnergy Corp. [SC00] The Analyst, Risk Change Management position is within the Risk group and reports to the Director, Enterprise Risk Management. It is located within our five state service territory (Ohio, Pennsylvania, Maryland, West Virginia, or New Jersey). This position is designated as Remote, but will require in-person work to support communications and change management. This in-person work will likely be primarily in the Akron area, but will span the 5-state territory. The change management plans will inform the frequency of in-person work, but is estimated at 2-3 times per quarter. The mission of the Corporate Risk team is to make risk actionable and help FirstEnergy achieve our strategic objectives. We envision a comprehensive and proactive Risk program that enables risk-informed decisions and the pursuit of opportunities. Risk management is composed of two teams: Enterprise Risk Management and Insurance Strategy & Operations. Members of the Enterprise Risk Management team will have the exciting opportunity to work across all areas of the business and contribute to the success of FE's key strategic priorities. To meet the refreshed strategy of the Corporate Risk department, roles associated with a new Risk Operational Excellence & Change Management area have been created. These roles are within the ERM team and constitute a highly organized and collaborative function that will work to ensure the success of the full Corporate Risk department. The Analyst, Risk Change Management is a key role for this function. The primary responsibilities of this role will be: Quality change management, including communications and trainings, is crucial to the success of ERM. This Analyst will identify and analyze key stakeholder audiences, develop trainings and communications for them, and train the Risk team on these communications. It will also support the preparation and delivery of presentations for all audience levels, through the Board of Directors. In order to appropriately manage top enterprise risks and capture associated opportunities, it is often necessary to refresh governance structures, implement new tactical action plans, and/or reassign resources. These actions are all owned by various business units, not Corporate Risk. This role will work with the ERM director and other members of the Risk team to advise business units on implementing successful change management strategies for these risk mitigation and opportunity capture activities. Enterprise Risk Management is an evolving field, and there will be substantial continuous improvement opportunities for the foreseeable future. Working across the ERM team, this analyst will stay informed of developments in the ERM field and in the FE ERM program in order to support the development of trainings and communications both for the ERM team and the full FE organization. The FE ERM team provides numerous communications to all levels of FE, from individual contributors, to the Board of Directors, to the FE external website. This analyst will support communications at all levels, often taking the lead to develop Microsoft PowerPoint or Word documents with stakeholder input. Effective enterprise risk management requires strategic communications and to persuade stakeholders of the importance of various risk topics, through "storytelling" and other communications means. This role will work across the Risk function to ensure communications are effective and strategic. The Risk team works closely with the other Assurance functions, i.e. Internal Audit and the Office of Ethics and Compliance. This analyst will ensure communications and change management initiatives are complementary to other Assurance function plans. The Analyst, Risk Change Management will: Have excellent project management and change management skills and the ability to lead all change management and communications activities across the Corporate Risk department, as well as for programs that span across every business unit of FE. This includes ability to oversee strong strategic visual and written communications to audiences of all levels. Understand or learn continuous improvement principles and work across the Risk leadership team to apply them to ERM change management processes Possess strong attention to detail and an ability to oversee quality control, providing coaching across the ERM function to ensure change management processes are understood and adhered to Ability to work independently to oversee enterprise-wide change management projects on a wide variety of topics Work across several topics at one time and effectively multitask and lead others in their work Analyst, Change Management responsibilities include: Develop and oversee change management plans and calendar for activities to ensure success of the ERM program. Coach team members on execution of change management plans. Collaborate across ERM to understand key initiatives and own change management plans to support them Collaborate across the Assurance Functions to ensure change management plans are aligned across functions Develop the majority of ERM risk communications, including presentations, reports, annual updates to external facing documents, etc. The audiences for these communications range from individual contributors, to the Board of Directors, to external-facing audiences. Coach and develop other ERM team members on effective change management and communications to support the ERM initiatives that they are responsible for Working across the Risk Operational Excellence & Change Management team, form knowledge of the annual ERM planned activities and create the tactical change management and communications calendar to support them Monitor change management success with key stakeholders, identify gaps and provide solutions, and escalate as necessary Review reporting templates and provide feedback from a change management and communications perspective Learn ERM processes, such as the Corporate Risk Management practice and other key processes in order to plan effective communications and change management The ERM program reports to the Enterprise Risk Management Committee, consisting of Executive Council level management at least 10 times a year. The program also supports multiple presentations to Board committees on every reporting cycle, at least 5 cycles a year. This analyst will coach others (both on the Risk team and across the business) and/or directly manage PowerPoint files to ensure quality communications from both a verbal and visual perspective Working across the Risk team, contribute to the development and continuous improvement of metrics that monitor risk culture and risk intelligence across FirstEnergy's business units. Review results of metrics, identify culture and risk intelligence gaps, and contribute recommendations to close gaps. Maintain awareness of activities of other Assurance functions (including but not limited to Internal Audit and the Office of Ethics and Compliance) to ensure coordinated communications and change management activities Work with Director, ERM and other leaders to monitor team health and plan activities to facilitate a strong working team Provide quality control of communications, ensuring that documents align to current department standards and templates As needed, the Change Management analyst will also serve on projects across the Risk team. This will allow the successful candidate to practice a variety of skills and learn about the full range of risks across FE's business units. Qualifications include: Bachelor's degree in Communications or a related discipline required. Minimum 4 years relevant work experience required. Relevant experience includes change management, effective facilitation, training development, and written and visual communications. A portfolio of developed trainings and/or communications may be requested as part of the interview process. Theoretical understanding of various change management models (e.g., ADKAR) is a plus, but experience leading effective enterprise-wide change management initiatives is expected Project management, continuous improvement, and/or change management training is a plus Risk Management experience is a plus, but a candidate with the desired change management and communications skills will be strongly considered if they show an aptitude and willingness to learn ERM principles. ERM training will be provided to a successful candidate as needed. Experience leading enterprise-wide and/or multi-department change management projects Experience developing or working with diverse teams and building an inclusive work environment Ability to understand the priorities of various audiences and develop influencing training and communications Excellent communications skills, written and verbal, and the ability to coach others in change management approaches Ability to understand FirstEnergy's strategic risk profile and the mitigations and opportunities associated with various risks, in order to lead change management solutions to address them Role models and reinforces the FE Values & Behaviors Proficient in Microsoft Office applications, and advanced knowledge of PowerPoint. Knowledge of other change management and/or communication tools that can be used at FE a strong plus. Benefits, Compensation & Workforce DiversityAt FirstEnergy, employees are key to our success. We depend on their talents to meet the challenges of our changing business environment. We are committed to rewarding individual and team efforts through our total rewards philosophy which includes competitive pay plus incentive compensation, a company-sponsored pension plan, 401(k) savings plan with matching employer contribution, a choice of medical, prescription drug, dental, vision, and life insurance programs, as well as skills development training with tuition reimbursement. Please visit our website at www.firstenergycorp.com to learn more about all of our employee rewards programs. FirstEnergy proudly supports workforce diversity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with a disability. No recruiters or agencies without a previously signed contract. Unable to sponsor or transfer H-1B visas at this time.SafetySafety is a core value for FirstEnergy and is essential to all of our business activities. We ensure employees have the tools, information, and processes to perform their duties in a manner that assures safety for themselves, their co-workers, our customers and the public. Our goals are to provide a safe work environment, to maintain an accident-free, injury-free workplace, and to promote and maintain public safety. To meet these goals, we dedicate ourselves to achieving world-class safety standards.Position ClassificationExempt FirstEnergy Human Resources Team

Associate Business Performance Analyst/ Business Performance Analyst - Project Controls At Dominion Energy we love our jobs. That’s right. Love. Every day we go to work filled with passion to be excellent, to creatively problem solve and to innovate. These are exciting days for energy companies, and Dominion Energy aims to shape the future of energy in America. We are looking at all of our work with fresh eyes, retooling everything we do, in every part of the company, to operate more sustainably and to deliver energy more reliably than ever. We are looking for interesting, independent thinkers and doers who can help shape the culture of a forward-looking company that’s proud of its rich legacy. Are you a change agent? Do you think differently? Do you want to fall in love with your job? If you answered “yes,” then read on! We offer a hybrid 3-2 work schedule (three days in the office, two days of teleworking) to accommodate the need for flexibility. Military service members and veterans with ranks from E3-E5, W1-W2, or O1-O3, plus appropriate equivalent combination of education and years of experience as outlined below will be considered for this opportunity. At this time, Dominion Energy cannot transfer nor sponsor a work visa for this position. **Job Summary** • Work directly with Electric Transmission Project Management to develop project forecasted spend, and establish project plans in SAP • Develop and maintain cost plan for Transmission Line and Substation construction projects based on approved estimates • Monitor project actuals and communicate discrepancies to projections utilizing CPM, SAP Fiori • Participate in month-end accruals, quarterly and year-end financial reporting activities. • Modify/maintain multiple project cost plans and significant milestones based on Project Management guidance and approval • Identify opportunities for segmentation of projects based on scope of work • Modify SAP project WBS elements, give guidance in project structure for closing projects • Prepare detailed project journal entries • Assist with SAP end of month close process • Support special projects, including PJM, FERC reporting, and interrogatories • Identify assets installed and complete closing process using Power Plan • Define and develop performance metrics, analyze and recommend data collection process improvements • Ensure data integrity as it relates to reporting and analytics • Identify and implement better work and business processes • Identify inconsistencies and problems and communicate them to leadership by proposing solution-driven ideas and execution • Develop programs and implement automated methods and systems to track workflow and performance efficiencies **Required Knowledge, Skills, Abilities & Experience** **Associate Business Performance Analyst:** • 0-2 years or relevant experience in a directly related field. • Planning, organizational and project management skills with the ability to facilitate and/or work on multiple project teams simultaneously, • Ability to exercise independent judgment and decision-making. • Analytical skills. • Good computer skills. • Good oral and written communication skills. **Business Performance Analyst:** • 2-3+ years of relevant exempt experience in directly related field. • Strong planning, organizational and project management skills with the ability to facilitate and/or work on multiple project teams simultaneously, • Ability to exercise independent judgment and decision-making. • Effective analytical skills. • Strong computer skills • Excellent oral and written communication skills. • Experience using Microsoft Office Suite, preferably with Excel and Access • Alteryx, PowerBI, Power Automate experience desired, but not required • Power Plan software experience desired, but not required • Experience with Electric Transmission or Power Distribution Operations preferred, but not required **Education Requirements** Degree or an equivalent combination of education and demonstrated related experience may be accepted in lieu of preferred level of education: Bachelor Preferred Discipline(s): Accounting, Business, Economics, Finance Other Disciplines may be substituted for the preferred discipline(s) listed above. **Licenses, Certifications, or Quals Description** **Working Conditions** Office Work Environment 76 -100% **Other Working Conditions** **Test Description** No Testing Required **Export Control** Certain positions at Dominion Energy may involve access to information and technology subject to export controls under U.S. law. Compliance with these export controls may result in Dominion Energy limiting its consideration of certain applicants. **Other Information** We offer excellent plans and programs for employees. Employees are rewarded with a competitive salary and comprehensive benefits package which may include: health benefits with coverage for families and domestic partners, vacation, retirement plans, paid holidays, tuition reimbursement, and much more. To learn more about our benefits, click here Dominion Energy is an equal opportunity employer and is committed to a diverse workforce. Qualified applicants will receive consideration for employment without regard to their protected veteran or disabled status. You can experience the excitement of our company – it's the difference between taking a job and starting a career. **Top 3 Reasons to Work at Dominion Energy** **There are many reasons to work at Dominion Energy, but below are the top three reasons employees have shared with us. Click on each of the links to learn more!** **About Dominion Energy** **I am your warm cup of coffee in the morning and I light your home at night. I am the cool breeze from your A/C on the hottest day in summer, and the red coil that heats your soup pot on a frigid winter’s day. I am sustainable, reliable and affordable.** **I am not just any energy… I am Dominion Energy.** **We're transforming the way we do business to build a more sustainable future for the planet, our customers, our team and our industry. We're shaping the future of energy in America.** **Join us!** Facts: ·17,000 employees ·Headquarters: Richmond, VA ·16 states in the US ·$100 billion of assets ·Nearly $35 million in charitable contributions ·100,000+ volunteer hours recorded in the community **Our Commitment to NetZero by 2050** **We’ve cut carbon emissions from our electric generation business by approximately 46% (since 2005) and methane emissions from our natural gas business by 38% (since 2010) — By growing wind, solar, and renewable natural gas and pursuing innovative technologies, we expect to achieve net zero emissions by 2050. We’ve also committed to reducing the emissions of our suppliers and customers — so we can all move forward together.** **Nearest Major Market:** Richmond **Job Segment:** Testing, Transmission Line, Project Manager, SAP, ERP, Technology, Energy