Associate Managed Care Analyst

Allegheny Health Network; United States; On-site; USD 47,237 - 74,734; Full time

Job summary

Allegheny Health Network seeks a professional to manage contracts, analyze data, and support collaboration with finance teams. The role requires an Associate's degree in relevant fields and experience in finance or data analysis. Strong skills in data interpretation and Microsoft Office are essential.

The position offers a range of responsibilities in a dynamic healthcare environment, with a pay range of $34.29 to $54.25 hourly.

Qualifications

• Experience in finance, contracting, or data analysis.
• Ability to analyze financial results and operational metrics.
• Ability to manage multiple projects effectively.

Responsibilities

• Support building and maintaining contracts in Epic.
• Manage underpayment accounts for assigned payors.
• Collaborate on contract building and analyses.

Skills

Data analysis

Microsoft Office (Excel, PowerPoint)

Communication skills

Time management

Education

Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field

Bachelor's degree in relevant field (preferred)

Tools

Epic software

R

Python

Job description

General Overview

This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error to the payor.

Essential Responsibilities

• Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
• Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
• Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
• Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
• Perform other duties as assigned or required.

Qualifications

Minimum

• Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
• Experience in finance, contracting, or data analysis
• Microsoft Office (Excel, PowerPoint, etc.)
• Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
• Ability to work with large quantities of detailed data and illuminate the higher‑level strategic insights that can impact business operations and performance
• Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
• Strong oral and written communication skills
• Ability to independently make progress on key projects with support from supervisor or peer analysts

Preferred

• Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
• Epic Expected Reimbursement Contracts Certification
• Experience with hospital, physician, and ASC contracts
• Experience in healthcare
• R, Python, or other statistical/programming tools
• Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
• Clinical background or general understanding of hospital/physician practice operations

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Additionally, employees must comply with applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Pay Range

Minimum: $34.29

Maximum: $54.25