Responsible for maintaining TUMG Master Fee Schedule, tracks payer fee schedule updates and
coordinates with vendors to ensure timely and accurate uploads and performing in-depth payer reimbursement and variance analysis, supporting
payer negotiations, and advising on strategic pricing decisions. This role ensures contract compliance, coordinates with A/R team to resolve
over/underpayments, and supports efforts to optimize revenue cycle operations and reimbursement accuracy through collaboration with internal
teams, payor relations, and third-party vendors.
Responsibilities
- Deep understanding of managed care,
government contracts, and reimbursement processes.
- Strong data analysis skills with the ability to compile and interpret
complex data sets related to contract compliance and payment trends.
- Experience in Fee Schedule Analysis and
Management
- RVU Validation and Yearly Review and Update
- Excellent communication and interpersonal
skills for working with internal teams and external payer representatives.
- Knowledge of medical coding systems (ICD, CPT,
HCPCS, etc.) and payer fee schedules.
- Oversight of Financial and Business Office staff and functions related to Revenue
Cycle
- Ability to maintain confidentiality in all work performed.
- Excellent organizational and time
management skills; ability to effectively manage multiple tasks simultaneously and meet established deadlines.
- Excellent
skills using MS Word, Excel and PowerPoint
Qualifications
REQUIRED EDUCATION AND
EXPERIENCE:
- Master’s Degree: minimum four (4) years’
experience in healthcare setting preferred.
- Demonstrated proficiency in the utilization of Data Visualization tools such
as Power BI, Excel and other software for analyzing data.
- Experience with hospital or clinical charge description master
(CDM) and payer fee schedules; knowledge of global fees, professional fees, and technical fees; experience in medical billing, collections,
and coding practices and procedures.
About Us
Tulane University is an equal opportunity educator and
employer committed to providing an education and employment environment free of unlawful discrimination, harassment, and retaliation.
Legally protected demographic classifications (such as a person’s race, color, religion, age, sex, national origin, shared ancestry,
disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an
eligibility, selection or participation criteria for Tulane’s employment or educational programs or activities.
Tulane University is
responsible for providing reasonable accommodations to individuals with disabilities throughout the applicant screening process. If you need
assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone
at 504-865-4748 or by email at hr@tulane.edu.
Job Info
- Job
Identification 663 - Job Category Health Service Operations
- Posting Date 05/13/2026, 12:15 AM
- Degree Level
Bachelor’s Degree - Job Schedule Full time
- Job Shift Day
- Locations New Orleans, LA, United States
-
Legal Employer Tulane University - Business Unit Tulane University
- Department SOM TUMG Administration
- Grade
26
