Why North Memorial Health?

At North Memorial Health, you’re part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North’s culture which is designed to actively support each team member’s wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower patients to achieve their best health.

Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 25 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals® list, 2023 Women’s Choice Award Best Hospitals list.

Benefits the North Way!

As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.

• Health & Welfare Benefit Packages
• 401k Retirement Match or Pension Plan, based on workgroup eligibility 
• Generous Paid Time Off (PTO) Plans
• Adoption Reimbursement up to $3000 per child
• Child Care Discount Program with New Horizon 10% off weekly childcare tuition
• Education/Tuition Reimbursement 
• 24/7 Fitness Center Access for all benefit eligible team members

Commitment to Diversity, Equity & Inclusion

At North Memorial Health we recognize that the strength of our team lies in our diversity and make every effort to embrace the unique contributions and experiences of each person on our team. We strive to ensure that everyone feels like they are a valuable part of our community, with initiatives that reinforce our belief in diversity, equity, and inclusivity, to promote a workforce that enables authenticity, as we want to be our best when providing effective services to our patients. We acknowledge and celebrate the unique traditions, backgrounds, languages, beliefs, and customs of our community, and want everyone to feel welcome. Through our DE&I initiatives we hope to dispel myths, assumptions, and acts of implicit bias.

About this position

Working directly with the Director of Payer Relations and Strategy and is responsible for having a comprehensive understanding of health insurance payment methodologies and how changes to those methodologies, and the various components within, impact organizational revenue.

This role is responsible for hospital and professional pricing, contract modeling, management, and evaluation of payer reimbursement methodologies and rates within contracts. Partner with our Revenue Integrity team, who is responsible for Epic Contract Build, to ensure the contracted methodologies and rates are being adhered to by our network payers by assisting in analysis of expected vs. actual payments.

Requirements

Education

• BS/BA degree in healthcare, finance, business, computer science, public health, economics, or statistics. -or- An unrelated degree and at least 5 years' experience in healthcare managed care contracting build/analysis.   

Experience

• 5+ years' experience with professional, hospital, and other billing and contract reimbursement performance analysis
• Experience with hospital or clinic pricing strategy and analysis
• Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, or has previous analytics experience and capabilities
• Experience working in a hospital or clinics healthcare organization
• Experience modeling contract expected reimbursement in Epic, preferred

Knowledge, Skills and Abilities
• Payer Methodologies
• Pricing Analysis
• Advanced Excel Analysis
• Epic HB and PB resolute, preferred
• Epic Dashboards, preferred
  

Licensure/Certification

The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.