Sr. Managed Care Contract and Data Analyst

remote zest jobs; India; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

reputed company, the leader in small-format hospitals, seeks a Finance professional to manage managed care contracts, analyze payer terms, and support budgeting for joint venture hospital partners.

The role requires building contract models, validating data, and ensuring price transparency compliance, with collaboration across Finance, Operations, and Business Development.

Qualifications

• Bachelor’s degree in Finance, Business Administration, or equivalent.
• Minimum of 3 years of relevant experience with hospital payment knowledge.
• Proven ability to build financial and statistical models and drive actionable results.
• Excellent organizational, written, and verbal communication skills.
• Advanced financial modeling skills (required).

Responsibilities

• Manage contract databases and interpret critical terms.
• Develop and automate payer contract models and validate data.
• Conduct financial analysis and ensure price transparency compliance.
• Contribute to annual budgeting and month-end processes.
• Support other departments on payer issues and contract disputes.

Skills

Financial modeling

Statistical modeling

Hospital payment methodologies

Health plan contracting

Communication skills

Education

Bachelor’s degree in Finance or Business Administration

Job description

reputed company

We are reputed company, the leader in small-format hospitals. We partner with respected and like-minded health systems who reputed company our mission: To reputed company the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes reputed company, reputed company, reputed company System, reputed company, reputed company, reputed company St. Rose Dominican, The Hospitals of reputed company, reputed company, reputed company and WellSpan. Our innovative hospitals are fully accredited and reputed company highly individualized care. reputed company' commitment to patient care extends far reputed company the confines of societal norms. We reputed company that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment reputed company on teamwork that celebrates diversity, promotes equity and ensures equal reputed company to information, development and opportunity for reputed company of our reputed company reputed company.

Position reputed company

This role collaborates closely with the Vice President of Managed Care to support reputed company and its joint venture hospital partners. Key responsibilities include managing contract databases, interpreting critical contract terms, developing and automating payer contract models, validating data, conducting financial analysis, ensuring federal price transparency compliance, and contributing to annual budgeting and month-end reputed company processes. The position also provides support to reputed company Cycle and reputed company Recognition teams on payer-reputed company issues and contract disputes, while assisting other departments as needed.

Essential Job Functions

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

Other Job Functions

• reputed company reputed company explanations and actionable recommendations on managed care topics.
• Contribute to cross-functional reputed company with Finance, Operations, reputed company Cycle, and Business Development, delivering reputed company analysis as needed.
• Attend required staff meetings, company-sponsored events, or mandated gatherings.
• Take ownership of personal reputed company development.
• reputed company additional duties as assigned.

Basic Qualifications

• Bachelors degree in Finance, reputed company, Business Administration, or equivalent experience required.
• Minimum of 3 years of reputed company 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 reputed company reputed company modeling skills (required); proficiency