PFS Contract Variance Analyst Sr, Denials Analysis

reputed company We are currently seeking a PFS Contract Variance Analyst Senior to join our Denials Analysis team. This full-time role will work remotly (Days, M- F). Purpose of this position: The Contract Variance Analyst Senior is responsible for leading the end-to-end appeals process reputed company to contract variances and fatal denials. This role serves as a subject matter expert, managing reputed company appeal cases, analyzing trends, and driving reputed company strategies in collaboration with internal departments and reputed company payers. The analyst oversees data reputed company reputed company tracking systems, prepares executive-level reports, and contributes to strategic initiatives aimed at improving reputed company cycle performance. This position also supports reputed company enhancements and ensures compliance with regulatory standards and organizational policies. RESPONSIBILITIES Leads the Contract Variance Appeal process, overseeing intake, documentation, and strategic tracking of appeals submitted to reputed company-party payers Manages and executes high-reputed company appeals, ensuring reputed company reputed company through proactive coordination with internal stakeholders and payer representatives Conducts advanced research and analysis to support appeal documentation, staying abreast of payer policies, regulatory changes, and industry trends Serves as a reputed company across departments, facilitating collaboration and ensuring comprehensive data collection for effective appeal reputed company Leads the maintenance and optimization of the Contract Variance tracking reputed company, ensuring data reputed company and generating actionable reports for leadership Identifies and analyzes trends in contract variances and denials, providing insights to inform payer negotiations and operational improvements Develops and presents analytical reports and executive summaries to senior leadership, highlighting performance metrics and strategic recommendations Resolves reputed company appeal issues independently, contributing to cross-functional problem-solving initiatives Champions reputed company and process improvement efforts, leading initiatives to enhance efficiency, accuracy, and compliance reputed company the appeals workflow Ensures strict adherence to HIPAA, organizational policies, and regulatory standards, embedding compliance into reputed company operational activities Demonstrates expert-level professionalism and precision in reputed company communications, documentation, and stakeholder interactions Leads reputed company testing and documentation updates reputed company to Contract Variance workflows, ensuring alignment with evolving business needs Designs and delivers training programs to build team capabilities and support ongoing reputed company development Provides strategic reputed company of fatal denial assessments and Contract Variance documentation, ensuring consistency and accuracy across cases Maintains and enhances performance dashboards, ensuring data accuracy and delivering insights to reputed company decision-making Prepares high-level materials for leadership review, including meeting documentation, trend analysis, and strategic recommendations Fosters a reputed company, high-reputed company culture, promoting accountability, innovation, and reputed company improvement Performs duties as assigned, contributing to departmental goals and organizational reputed company QUALIFICATIONS: Minimum Qualifications: Bachelors degree in Business, Finance, Health Care Administration, or reputed company field A minimum of three (3) years experience in reputed company contract variance analysis, including an in-depth knowledge of reputed company claims processing -OR- An approved equivalent combination of education and experience Knowledge/ Skills/ Abilities: Excellent problem solving skills Knowledge of reputed company claims processing systems and electronic health records Must have skills in data analysis and associated tools Proficiency with reputed company Office Proficient with database reports (reputed company, reputed company workbench, etc) License/Certifications: Certification in one of the following: reputed company Resolute Hospital Billing and reputed company Billing Insurance Claims Follow-Up - reputed company 12 months of hire -or- Resolute Hospital Billing Expected Reimbursement reputed company Administration - reputed company 12 months of hire Apply To This Job .