Managed Care Contract Analyst

Houston, MS - USA

Monthly Salary: Not Disclosed

Posted on: 18 hours ago

Vacancies: 1 Vacancy

Job Summary

We are seeking a highly motivated detailoriented and autonomous professional with a positive attitude to join our Managed Care Operations team focusing specifically on healthcare contract analysis and reimbursement methodologies. This Managed Care Analyst role is ideal for someone who thrives in a fastpaced environment enjoys analytical work and is committed to supporting accurate and strategic managed care contracting.

Key Responsibilities

Interpret healthcare managed care contracts and government reimbursement methodologies to accurately build contract modeling calculations.
Prepare prenegotiation analyses to support the development of effective payer contract negotiation strategies.
Define develop and execute modeling and analytical processes for new and updated fee schedules and contracts.
Query EMR and Practice Management Systems to gather data required for precise and comprehensive analysis.
Collaborate with other Managed Care Operations teams on complex projects providing analytical support as needed.
Assist in creating new modeling templates tools and analytical frameworks to enhance team efficiency and accuracy.
Perform additional analyses and jobrelated duties as assigned

Qualifications :

Ability to thrive in a dynamic fast paced environment while demonstrating strong organization attention to detail flexibility and consistent accuracy

Ability to adapt effectively within both decentralized operations models and centralized department structures

Minimum of two years of analytical experience in the healthcare industry with extensive knowledge of healthcare reimbursement methodologies and concepts

Strong oral and written communication skills with the ability to work independently and apply a high degree of critical thinking

Bachelors degree in economics finance or a related discipline preferred

Proficiency in financial impact analysis impact modeling predictive modeling and data manipulation

Advanced Excel skills including experience working with large datasets building complex reports using lookup formulas creating pivot tables and applying advanced functions/formulas

Solid understanding of Medicaid and Medicare programs as well as payer contract language

Customer service oriented with the ability to build and maintain strong working relationships

Proven ability to manage multiple projects simultaneously and meet established deadlines

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Remote Work :

Yes

Employment Type :

Full-time

Key Responsibilities

Interpret healthcare managed care contracts and government reimbursement methodologies to accurately build contract modeling calculations.
Prepare prenegotiation analyses to support the development of effective payer contract negotiation strategies.
Define develop and execute modeling and analytical processes for new and updated fee schedules and contracts.
Query EMR and Practice Management Systems to gather data required for precise and comprehensive analysis.
Collaborate with other Managed Care Operations teams on complex projects providing analytical support as needed.
Assist in creating new modeling templates tools and analytical frameworks to enhance team efficiency and accuracy.
Perform additional analyses and jobrelated duties as assigned