Managed Care Analyst jobs in the United States
Recently Added Managed Care Analyst jobs
Managed Care Data Analyst
- Sarasota Memorial Health Care System
-
Sarasota, FL
FULL_TIME
-
Job Description
Department
Managed Care
Job Summary
Works with Managed Care Analyst Sr to oversee the balancing, reconciling, and resolution of errors for the daily 835 and 837 files, charges, payments, adjustments and contractuals to the patient accounts receivable system. Provides training, guidance, and support with the use of the managed care contracting system by Patient Financial Services (PFS) and other Revenue Cycle team members through education and daily communication. Oversees the Master Tables as assigned and collaborates with the Managed Care team to implement process improvements. Provides guidance and support for other system maintenance functions as required for data integrity of the contract modeling software. Develops reports/report views and explains and interprets data as requested and maintains report libraries. Collaborates with Managed Care Analyst Sr in modeling proposed contracts and loading finalized contracts. Oversees all contract naming conventions, organization of payor models, organization of scanned and paper contracts, rate schedules, payor correspondence, and the managed care smh.com website. Performs other duties as assigned in support of the Managed Care Department.
Required Qualifications- Require a bachelor’s degree in a relevant field of study.
- Require experience in at least two (2) of the following: Microsoft Excel data analysis, Microsoft PowerPivot / SSAS, Power BI, SQL Server (coding or database maintenance), SSRS, RStudio, Python, PowerShell, or other similar analytics toolset or programming language.
- Prefer experience in a managed care setting.
- Prefer knowledge of health insurance plans and managed care contracts.
- Prefer proficient excel user with experience using complex formulas and pivot tables.
- Prefer previous experience in generating a variety of reports.
- Prefer coding certificate (i.e. CPC) or CPAT/CRCS.
- Prefer demonstrated knowledge of hospital billing, including hospital charges, CPT, DRG, APC, APRDRG, revenue codes, and ASC Groupers
- Prefer demonstrated knowledge of contract modeling software, contract terms, and contract modeling.
- Prefer demonstrated ability to relate to a wide variety of people using excellent written and verbal communication skills.
- Prefer demonstrated organizational, analytical, leadership and judgment skills.
- Prefer demonstrated proficiency with Windows-based office applications including Excel, Word, PowerPoint, Access, and Outlook.
- Prefer knowledge and experience with hospital and physician billing, payer claims adjudication and analyzing payment patterns.
M D: Masters Degree - 26 Days Ago
Managed Care Operations Analyst - Hybrid
- Cooper University Health Care
-
Camden, NJ
FULL_TIME
- Maintain and update Epic and contract management tool (e.g. Strata Jazz) as it relates to contract management and maintenance, be the Subject Matter Expert (SME) for both systems as it relates to cont...
- 1 Month Ago
Financial Analyst, Managed Care
- Beacon Health (Memorial Hospital & Health System)
-
Granger, IN
FULL_TIME
- Granger, INManaged CareBeacon Health SystemFull-time - Day - 8:00-5:00Req #: 212867Posted: June 19, 2024--> SummaryThe Financial Analyst will define, create, distribute, and support financial performa...
- 18 Days Ago
Managed Care Operations Analyst
- Cooper University Hospital
-
Camden, NJ
OTHER
- About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations...
- 19 Days Ago
Sr. Managed Care Analyst
- Adventist Health
-
CA, CA
FULL_TIME
- Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified ca...
- 19 Days Ago
Managed Care Analyst jobs at Popular Companies
Product Compliance Analyst II - Wound Care- REMOTE
- Net Health
-
Columbus, OH
- About Net Health Belong. Thrive. Make a Difference. Are you looking for a meaningful and satisfying career where you hav...
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- Harmonic Finance Inc ™ | Certified B Corp
-
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Product Wear Analyst
- BCforward
-
Columbus, OH
- BCForward is currently seeking for a highly motivated Product Wear Analyst for a Hybrid Opportunity in Ohio. ****Only Lo...
- 7/26/2024 12:00:00 AM
IT Systems Analyst Advisor
- Vaco
-
Columbus, OH
- IT Systems Analyst Advisor Columbus, OH (completely remote) 6-month contract-to-hire Pay rate: $50 - $60 /hr. PRIMARY PU...
- 7/25/2024 12:00:00 AM
HEDIS Data Analyst (Healthcare) - Remote $100K
- Confidential Jobs
-
Columbus, OH
- *Must have HEDIS experience. Remote potential with HEDIS experience. The HEDIS Data Analyst works to identify solutions ...
- 7/25/2024 12:00:00 AM
Senior Mulesoft Developer
- CGI Group, Inc.
-
Columbus, OH
- Senior Mulesoft Developer Position Description CGI is looking for a talented and experienced Senior-Level Technical Deve...
- 7/24/2024 12:00:00 AM
E-Commerce Marketing Associate (Hybrid Remote) (Entry-Level)
- Reli.
-
Columbus, OH
- Reli. is a dynamic eCommerce company experiencing rapid year-over-year growth via selling on Amazon (www.amazon.com/reli...
- 7/23/2024 12:00:00 AM
Income Estimation for Managed Care Analyst jobs
$61,389 to $96,291