**Current Emanate Health Employees - Please log into your Workday account to apply**
Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.
On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.
**J** **ob Summary**
The Sr. Contract Variance Specialist works under the guidance of the Reimbursement Strategy Supervisor and is responsible for identifying payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers, and non-contracted miscellaneous payers. This position serves as the contract language expert for multiple payers, ensuring accurate interpretation and application of reimbursement methodologies, contract terms, and payment provisions. The role reviews and validates proration calculations and adjustments, ensuring payments are allocated appropriately and in accordance with payer contracts, regulatory requirements, and organizational policies. The Sr. Contract Variance Specialist analyzes underpayments and identifies proration discrepancies, collaborates with Reimbursement Strategy Supervisor to resolve variance issues, and supports revenue recovery and reimbursement optimization efforts through detailed contract and reimbursement analysis. Ability to quickly learn and adapt to new systems, regulations, and payer requirements.
**Job Requirements**
**M** **inimum Education Requirement :**
High School diploma or equivalent required.
**Minimum Experience Requirement :**
Minimum of seven to ten (7-10) years of experience in commercial insurance collections, including claims submission, follow-up, and appeals management. Extensive knowledge of Managed Care reimbursement methodologies and hospital/facility billing processes. Strong understanding of revenue cycle operations, including billing, collections, follow-up, payment posting, and reimbursement processes. Experience interpreting payer contract language and applying various reimbursement and payment methodologies. Demonstrated critical thinking and analytical skills with the ability to identify trends, resolve complex payment issues, and recommend process improvements. Proficient in utilizing multiple billing and payer systems to analyze, compare, and communicate trends, discrepancies, and operational challenges. Advanced proficiency in Microsoft Office Suite, particularly Excel. Excellent customer service, verbal, and written communication skills. Proven ability to work independently with minimal supervision while collaborating effectively in a team environment to achieve organizational goals and ensure optimal reimbursement outcomes.
**Minimum License Requirement :**
None.
Delivering world-class health care one patient at a time.
Pay Range:
$32.00 - $48.87
We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives.
When you come to any one of our locations (https://www.emanatehealth.org/locations/) , you'll be treated like family. And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness.
**Our mission**
Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.
**Our vision**
We are an integral partner in elevating our communities' health.
**Our values**
Patients and their families are the reason we are here. We want them to experience excellence in all we do through the quality of our services, our teamwork, and our commitment to a caring, safe and compassionate environment.
**Respect.** We affirm the rights, dignity, individuality and worth of each person we serve and of each other.
**Excellence.** We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do.
**Compassion.** We care for each person and each team member as part of our family.
**Integrity.** We believe in fairness and honesty and are guided by our code of ethics.
**Stewardship.** We wisely care for the human, physical and financial resources entrusted to us.
Emanate Health is an Equal Opportunity Employer and does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify the Human Resources Department by calling 62