Managed Care Analytics Coordinator

Surgical Management Professionals, LLC.

South Dakota

Remote

USD 65,000 - 100,000

Full time

2 days ago
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Job summary

Surgical Management Professionals, LLC (SMP) is seeking a Managed Care Analytics Coordinator for a full-time remote role in the United States. You will review payer contracts, analyze claims data, and develop dashboards to identify trends and improvement opportunities across revenue cycle, finance, and operations teams.

Responsibilities include maintaining analytics tools, validating data accuracy, and supporting regulatory compliance while contributing to continuous improvement initiatives in a

Qualifications

  • Experience with data analysis, reporting, and performance metrics.
  • Proficient with spreadsheets and data tools; knowledge of BI tools.
  • Knowledge of healthcare reimbursement and revenue cycle processes is beneficial.
  • Strong written and verbal communication to non-technical stakeholders.
  • Detail-oriented with ability to validate and reconcile data from multiple sources.
  • Experience in ambulatory surgery centers, hospital operations, or managed care analytics is a plus.

Responsibilities

  • Review payer contracts and analyze claims data.
  • Prepare dashboards and reports to highlight trends and opportunities.
  • Collaborate with revenue cycle, finance, and operations teams.
  • Maintain databases and analytic tools; validate data accuracy.
  • Document processes and support regulatory compliance.
  • Contribute to continuous improvement initiatives.

Skills

Analytical thinking
Data analysis
Reporting
Performance metrics
Communication
Attention to detail
Time management
Cross-functional collaboration

Education

Bachelor’s degree or equivalent experience

Tools

Excel
BI tools
SQL/basic querying

Job description

Company Description

Surgical Management Professionals (SMP) is a healthcare management company with over 30 years of experience supporting surgery centers and hospitals across the United States. The organization provides comprehensive services, including surgery center development and management, revenue cycle management, facility development, and customized consulting. SMP focuses on optimizing operations, improving financial performance, and enabling clinical teams to prioritize exceptional patient care. The team is composed of experienced healthcare professionals who tailor solutions to the unique needs and goals of each client. SMP offers a proven track record and a collaborative, partner-based approach to long-term success.

Role Description

The Managed Care Analytics Coordinator is a full-time, remote role responsible for supporting managed care and reimbursement strategies through data analysis and reporting. In this role, the coordinator reviews payer contracts, compiles and analyzes claims and reimbursement data, and prepares dashboards and reports to highlight trends, performance, and opportunities for improvement. The position collaborates with revenue cycle, finance, and operations teams to evaluate contract performance, identify variances, and recommend data-driven actions to optimize managed care outcomes. Day-to-day tasks include maintaining databases and analytic tools, validating data accuracy, assisting with modeling for contract negotiations, and responding to ad hoc analytic requests. The role also involves documenting processes, supporting compliance with regulatory and payer requirements, and contributing to continuous improvement initiatives.

Qualifications
  • Strong analytical and quantitative skills, including experience with data analysis, reporting, and performance metrics.
  • Proficiency with spreadsheets and data tools (e.g., Excel, data visualization or BI tools, basic database querying).
  • Knowledge of healthcare reimbursement, claims data, payer contracts, or revenue cycle processes is highly beneficial.
  • Effective written and verbal communication skills, with the ability to present complex information clearly to non-technical stakeholders.
  • High level of accuracy, attention to detail, and ability to validate and reconcile data from multiple sources.
  • Demonstrated organizational and time-management skills, with the ability to manage multiple priorities in a remote environment.
  • Collaborative mindset and ability to work cross-functionally with finance, operations, and clinical teams.
  • Bachelor’s degree in healthcare administration, business, finance, analytics, or a related field, or equivalent relevant experience.
  • Experience in ambulatory surgery centers, hospital operations, or managed care analytics is a plus.
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