The Managed Care Analyst applies technical, analytical, and problem-solving skills to provide solutions/improvements within the department.
Responsible for completing financial and/or operational analysis of contracts, developing and tracking key performance indicators, financial modelling comparative analysis and benchmarking.
This person demonstrates competencies in decision support and reporting through converting raw data into useful and actionable information.
This person is responsible for compiling and analyzing data as well as for creating meaningful applications to support executive decision making.
Supports Managed Care leadership in financial modeling.
Applies basic understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes.
Performs analytical and planning functions in support of Managed Care decision making.
Participates in the annual Managed Care revenue budget process.
Completes multiple projects in a fast-paced environment within timeframes outlined in the department policies and as specified by Leadership.
Demonstrates strong project management and organizational skills by maintaining up-to-date project lists to assist in setting appropriate project priorities.
Requirements
Associate Degree
1+ Work Experience
Microsoft Office (Excel PowerPoint, Word, Outlook, Visio, etc.)
Excellent verbal and written communication skills
Excellent problem-solving skills
Healthcare information systems (PCON, Cerner, Soarian)
Business Intelligence Software (Qlikview, Tableau, SAP, etc.)
Data warehousing tools (SQL Server, etc.)
Microsoft Visual Basic/Access
Financial Reporting and Analysis
Benefits
Benefits from Day One
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.