Emerus Holdings, Inc.

Data Analyst

• Serve as the managed care liaison and subject matter expert for joint venture hospital partners, revenue cycle billing and collections teams, and finance department leaders.
• Compile and analyze payer performance metrics for reporting to organizational leadership.
• Maintains up-to-date managed care contract databases to streamline collections, support analysis, and share contract terms efficiently.
• Assist the revenue cycle team by loading and maintaining current payer rates in an insured allowed/payment validation module.
• Perform random audits of claim payments to ensure payer compliance with managed care agreements.
• Support special projects, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities.
• Build contract models to assess current performance yields and evaluate new contract proposals.
• Collaborate with the revenue cycle team to identify underpaid/overpaid claims and develop initiatives to secure accurate payments.
• Provide managed care insights and contract modeling (e.g., rate escalators, charge master updates, new contract yields) to support the finance team’s annual budget process.
• Aid the revenue recognition team during month-end close by offering managed care perspectives on key revenue-influencing items.
• Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files.
• Represent managed care in joint venture board meetings or monthly operational reviews as required.
• Conduct financial data analysis and respond to internal/external inquiries from management.

Senior Managed Care Contract and Data Analyst