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Reconciliation Analyst at Managed Health Care Associates, Inc. in Florham Park, New Jersey

Posted in Admin - Clerical 30+ days ago.

This job brought to you by eQuest

Type: Full-Time





Job Description:

Company Overview:


Managed Health Care Associates, Inc. (“MHA”) is a leading health care services and technology company that offers a growing portfolio of services and solutions to support the diverse and complex needs of the alternate site health care provider. MHA provides expertise in Group Purchasing, Managed Care and Payer Contracting, Reimbursement Management, Specialty Pharmacy Solutions, Pharmaceutical Data Analytics, Consultant Pharmacy Software and Legislative Advocacy. Through the delivery of innovative health care services and solutions, MHA helps members increase operational efficiency, maximize business growth and provide optimum care for their patients.


Founded in 1989, MHA was purchased by Roper Technologies, Inc. in mid-2013. Roper Technologies is a constituent of the S&P 500, Fortune 1000, and the Russell 1000 indices. Roper designs and develops software (both software-as-a-service and licensed), and engineered products and solutions for healthcare, transportation, food, energy, water, education and academic research markets worldwide. To learn more please visit www.mhainc.com


 Job Purpose:


 The Reconciliation Analyst is responsible for ensuring MHA members have access to eligible contract pricing though authorized MHA Wholesalers and Distributors.  The Reconciliation Analyst coordinates with MHA Wholesalers & Distributors, Sales Teams, Internal Operations Teams and Trade Relations to ensure the following:



  • Vendor contracts are properly loaded

  • Members are correctly attached to contracts

  • Contract pricing or member eligibility issues are resolved in a timely fashion

An essential part of this position is to analyze Wholesaler & Distributor sales data to proactively identify, research and resolve contract pricing and member eligibility issues. 


Essential Duties & Responsibilities:


 



  • Liaise daily with assigned wholesalers/distributors to confirm that new members, member changes, new contracts and changes to existing contracts are accurately loaded in the wholesalers’/distributors’ systems.

  • Generate sales audit reports using standard queries in order to analyze and identify member eligibility and contract pricing issues, and work with internal teams and wholesalers/ distributors to resolve discrepancies in a timely fashion.

  • Prioritize issues based on member sales impact.

  • Respond to inquiries from the sales teams regarding member eligibility, contract loads, account status, and account activity.

  • Coordinate with the Membership team to obtain vendor confirmation of member’s contract eligibility status in order to facilitate member’s access to contract pricing via wholesalers/distributors and resolve vendor blocks.

  • Coordinate with the Contract Management Team to resolve vendor contract product and pricing issues and discrepancies at the wholesalers/distributors.

  • Manage and maintain department Issues Tracker log which contains records and follow-up activities for open and resolved discrepancies.

  • Produce ad hoc reports and summarize findings and trends in data, as requested by Management and other internal departments.

 


Minimum Qualifications & Competencies:



  • Bachelor Degree /Associate’s Degree OR equivalent work experience required.

  • Strong proficiency in MS Office applications including Excel (Pivot Tables, v-lookup), Word, and Outlook.

  • Excellent verbal and written communications skills, well organized and the ability to self-manage and work with minimal guidance.

  • Strong analytical and problem solving skills with the ability to interpret data and identify trends.

  • Strong verbal and written communication skills.

  • Excellent organization and time management skills with ability to prioritize work and function with minimal guidance.

  • Professional demeanor in performing job responsibilities and when interacting with others.

  • Attendance and punctuality with commitment to arrive to work on time and ensure work responsibilities are covered when absent.