Responsibilities
The Senior Provider Contract Analyst-NMG works closely with the Director Provider Contracts-NMG to ensure provider employment agreement terms and physician compensation is accurate, timely, and in compliance with contracted expectations. As a Senior Provider Contract Analyst-NMG, you will have the opportunity to learn about a niche specialty area that is growing in the marketplace. In this role, you will work closely with other members of the team day-to-day. You will learn about the valuation of physician compensation and healthcare clinical financial operations. Specific tasks include financial modeling of physician compensation, documenting for compliance management purposes and collaborating to foster working relationships with stake holders. This position will interact with all members of the contracts team as well as with other departments as related to compensation research or regular data sharing. This position performs a variety of project-oriented tasks to support the development and implementation of projects, initiatives and compliance with Stark, Anti-Kickback and FMV regulations.
- Participates in annual external survey process regarding pay practices, base pay, production pay, incentive pay, position classifications, benefits, bonuses, etc.
- Supports colleagues regarding matters of provider compensation related measures and compensation. Performs other physician analytic duties as assigned from time to time.
- Financial modeling of physician compensation for internal/external fair market reviews including benchmarking analysis to assist with preparation of new physician employment agreements, renewal of physician employment agreements, and professional services agreements. Which includes compilation of all supporting fair market review documentation for Legal/Compliance Department.
- Calculates and maintains provider bonus/incentives including, but not limited to, productivity, hiring and retention bonuses. Prepares compensation audits and investigates anomalies to validate compliance with contract agreements.
- Ensures provider compensation models are effective, compliant with applicable state and federal laws and regulations, and aligned with Norton physician compensation policies and offer terms by performing annual compensation review and Fair Market Value analysis for all employed providers, including production trajectories, analysis of data and preparation of annual renewal notices.
Qualifications
Required:
- Three years of experience in accounting, finance or data analytics.
- Bachelor Degree
Desired:
- Experience administering physician compensation programs including productivity bonuses. Strong understanding of Stark, Anti-Kickback Statute, FMV concepts and competitive market benchmarking.
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