Managed Care Contract Analyst - Full-Time

Prisma Health; Greenville (SC); On-site; USD 85,000 - 105,000; Full time

Job summary

Prisma Health is seeking a knowledgeable analyst for managed care contracting support across facilities and employed physicians. The role focuses on operational and financial analysis of projects, contract performance, and effective communication with payors.

The position involves collaboration with enrollment teams, revenue cycle, and leadership to resolve issues, educate stakeholders, and ensure alignment with managed care strategies and trends. Day shifts in a hospital setting are typical.

Qualifications

• Bachelor's degree required for the role.
• Minimum five (5) years of managed care experience.
• In lieu of the above, a Master’s degree plus two years of managed care experience may be considered.

Responsibilities

• Analyze and evaluate projects to support managed care operations and initiatives.
• Provide proactive servicing of contracts and analysis of contract performance, including variance support and payor engagement.
• Resolve contracting and reimbursement issues and prepare findings into summaries for leadership presentation.
• Educate and communicate managed care concepts to staff and affiliates.

Education

Bachelor's degree

Job description

Prisma Health is seeking a knowledgeable analyst for managed care contracting support across facilities and employed physicians. The role focuses on operational and financial analysis of projects, contract performance, and effective communication with payors.

The position involves collaboration with enrollment teams, revenue cycle, and leadership to resolve issues, educate stakeholders, and ensure alignment with managed care strategies and trends. Day shifts in a hospital setting are typical.