As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.

Positions at Phoenix Children's

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Managed Care Contract Specialist -PHX Children's-Remote (Residing in PHX)

Posting Note: As a Managed Care Contract Specialist for Phoenix Children's, you will be responsible for evaluating, analyzing, negotiating, implementing, and monitoring contract rates and terms. Contracts may include Phoenix Children's Hospital, Phoenix Children’s Medical Group, and Phoenix Children’s Care Network, and all related entities. Your analytical expertise will focus on payment and operational issues that may be impacting the process. Your understanding of MS-DRG methodology, “fee for service”, pay for performance, “bundle payments”, and total cost of care model experience will be a perfect fit for this position. Relocation Assistance provided.   Schedule: M -F 8:00 a.m. - 5:00 p.m.   Requirements: 3 years of healthcare experience with a focus in contract administration and negotiation, strong analytical skills for evaluating financials, an understanding of standard and innovative contract and reimbursement methodologies, including service fee, pay for performance, bundled payments. Knowledge of DRG and OPFS and total cost of care models required. Proficiency in MS (EXCEL, WORD, PowerPoint) products is required.

This position evaluates, analyzes, negotiates, implements, and monitors contract rates and terms within established contract parameters and timeframes. Contracting may include Phoenix Childrens Hospital, Phoenix Childrens Medical Group, Phoenix Childrens Care Network and all related entities.

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MC - Sr Contracts Specialist

The Senior Contract Specialist, Managed Care, is the subject matter expert on all managed care contract terms and conditions and has primary responsibility for negotiation, implementation and performance review of assigned managed care contracts. Contracting may include Phoenix Childrens Hospital, Phoenix Childrens Medical Group, Phoenix Childrens Care Network and all related entities.

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Revenue Analyst III

The Revenue Analyst III develops contract models for managed care contracts, creates and maintains ad hoc reporting on healthcare utilization and quality, and supports contract negotiation through consistent and thoughtful data analysis, and provides analytics and data support to Managed Care and Revenue Cycle. Modeling and analytics include gathering data from multiple data sources, evaluating and synchronizing resulting data, benchmarking key financial and quality indicators, adjusting for market conditions and strategic objectives, checking for reasonableness using independent judgment, and interpretation of various types of health care data including claims data, encounter data and financial reports. The Revenue Analyst III presents model results and reports and communicates internally and externally to support ongoing Managed Care and Revenue Cycle strategies, providing crucial insight into performance and opportunities to senior and hospital leadership.

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