Capitation Revenue Analyst — Remote, Managed Care

MemorialCare Health System; Fountain Valley (CA); On-site; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Bonus opportunities

Job summary

Memorial Health Services is seeking a Managed Care Analyst to support capitation revenue analysis and contract modeling across our system. The role emphasizes data-driven insights, SQL queries, and collaboration with the Managed Care Analytics team.

The position reports to the Manager of Managed Care Analytics and sits at the system level supporting hospitals, IPA, and health plan operations. The work is primarily remote with CA residency required.

Qualifications

• 2 years experience, preferably in Managed Care analytic setting.
• Proficient in SQL development and Epic systems, with advanced Excel capabilities, alongside strong command of Microsoft Office tools.
• Extremely organized with strong sense of priority, urgency and commitment to deadlines.
• Self-motivated individual able to handle fluctuating volumes of work , able to prioritize to meet deadlines.

Responsibilities

• Provide financial analysis and ad hoc reporting to internal stakeholders and leaders.
• Collaborate with senior team members and cross-functional departments to design and run queries and reports based on external reporting requests, ensuring data integrity, actuaries and timeliness.
• Model specific reimbursement terms to support the Managed Care negotiation team, including MCMF, MHS, and MCSHP.
• Develop and maintain reporting templates to measure performance of health plan trend and yield to proactivity report out on monthly basis.
• Support monthly financial close by proactively identifying trends, outliers, requested reports and answering inquiries
• Complete and distribute monthly reporting packages to internal stakeholders.

Skills

SQL development

Epic systems

Advanced Excel

Microsoft Office

Education

Bachelor's degree in Business, Finance or Healthcare

Tools

Snowflake

Job description

Memorial Health Services is seeking a Managed Care Analyst to support capitation revenue analysis and contract modeling across our system. The role emphasizes data-driven insights, SQL queries, and collaboration with the Managed Care Analytics team.

The position reports to the Manager of Managed Care Analytics and sits at the system level supporting hospitals, IPA, and health plan operations. The work is primarily remote with CA residency required.