Senior Managed Care Contract and Data Analyst

Emerus Holdings, Inc.

. 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.

Posted 4/21/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor’s degree in Finance, Accounting, Business Administration, or equivalent experience required.
Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes.
Proven ability to build financial and statistical models, analyze data, and drive actionable results.
Excellent organizational, written, and verbal communication skills.
Advanced Microsoft Excel modeling skills (required); proficiency in Word, PowerPoint, and Outlook (essential).
Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL
Intermediate knowledge of data preparation and visualization techniques using PowerBI
Strong analytical and problem-solving capabilities.
Comfortable working in a fast-paced environment with minimal supervision.
Ability to meet deadlines while managing multiple projects and delivering high-quality work.
Detail-oriented with a strategic, big-picture mindset.

Benefits

Comp & perks

Employee Pricing Transparency
Remote work options

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial modelingstatistical modelingdata analysispayer performance metricsclaim auditscontract modelingdata retrievaldata filteringdata manipulationprice transparency compliance

Soft Skills

organizational skillswritten communicationverbal communicationanalytical skillsproblem-solving skillstime managementattention to detailstrategic thinkingability to work independentlyability to manage multiple projects