Managed Care Analyst - Capitation Revenue (Fully Remote)

MemorialCare; USA; Remote; USD 57.000 - 71.000; Vollzeit

Benefits dieser Stelle

Health insurance

Zusammenfassung

MemorialCare is seeking a Managed Care Analyst to advance contracting and operational strategies through financial analysis, contract modeling, and advisory support. This system-level role reports to the Manager of Managed Care Analytics and supports all MHS entities including hospitals, foundation, IPA, and health plan.

Responsibilities include assembling and analyzing financial data from Snowflake and various financial systems, evaluating payer arrangements such as Medicare Advantage and

Qualifikationen

• Minimum 2 years of experience in a managed care analytic setting.
• Proficiency in SQL, Epic, and advanced Excel.
• Bachelor's degree in Business, Finance, or Healthcare required.

Aufgaben

• Assemble and analyze financial data from sources such as Snowflake, payor capitation data, cost accounting, GL, budgeting, and patient billing.
• Evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.
• Develop reporting templates to measure health plan trend and yield, and support monthly financial close by identifying trends and outliers.

Kenntnisse

Analytical thinking

Financial analysis

SQL

Epic

Excel (Advanced)

Ausbildung

Bachelor's degree in Business/Finance/Healthcare

Tools

SQL

Epic

Excel

Jobbeschreibung

• The Managed Care Analyst advances MemorialCare's Managed Care Contracting and Operational strategies through financial analysis, contract modeling, and advisory support.
• This system-level role reports to the Manager of Managed Care Analytics and supports all MHS entities including hospitals, foundation, IPA, and health plan.

Responsibilities:

• Assemble and analyze financial data from sources such as Snowflake, payor capitation data, cost accounting, GL, budgeting, and patient billing.
• Evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.
• Develop reporting templates to measure health plan trend and yield, and support monthly financial close by identifying trends and outliers.

Qualifications:

• Minimum 2 years of experience, preferably in a managed care analytic setting, with proficiency in SQL, Epic, and advanced Excel.
• Strong organizational skills and the ability to handle fluctuating volumes of work, prioritize, and meet deadlines.
• Bachelor's degree in Business, Finance, or Healthcare is required.
• Pay range of $41.09/hr - $51.56/hr with potential for shift differentials, extra shift incentives, and bonus opportunities.
• High-quality health insurance plan options for employees and their dependents.

MemorialCare

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups, and more than 2,000 physicians throughout Orange and Los Angeles Counties. The organization supports over 200 sites of care and fosters an environment of respect, innovation, and teamwork, encouraging employees to reach their full potential.