Manager-Managed Care Analysis

MHM Support Services; Oklahoma City (OK); Híbrido; USD 85.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical coverage

Dental coverage

Vision coverage

Paid time off

Tuition support

Descripción de la vacante

Mercy is seeking a Managed Care Analyst to support hospital managed care for West Communities and Mercy-wide initiatives. The role includes modeling and analysis for contract negotiations, and coordinating with revenue cycle on contract implementation and adjudication issues.

The position is hybrid with on-site expectations at a Mercy location, preferably in the Oklahoma City area, with regional possibilities. A Bachelor's degree and 5 years in healthcare finance are required.

Formación

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, Economics, Data Analytics, or related field.
• Equivalent relevant experience may be considered.
• Five years of experience in Healthcare finance, with managed care or revenue cycle exposure.

Responsabilidades

• Support hospital managed care for West Communities and Mercy-wide responsibilities.
• Perform managed care modeling and analysis for contract negotiations.
• Communicate with revenue cycle regarding contract implementation and escalated adjudication issues.

Conocimientos

Organizational skills

Analytical skills

Communication skills

Healthcare finance

Revenue cycle data

Contract analysis

Educación

Bachelor's degree in Finance/Accounting/Healthcare Administration/Business

MBA/MPH/MHA/CPA preferred

Herramientas

Microsoft Excel

Descripción del empleo

Find your calling at Mercy! This position reports to the Director, Managed Care analysis and supports hospital managed care for West Communities as well as limited Mercy-wide responsibilities. Includes managed care modeling and analysis for contract negotiations, communication and support to revenue cycle regarding the implementation of contracts, and support of escalated contract adjudication issues. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details

This is a hybrid position with on-site expectations at a Mercy location. Prefer candidates in the Oklahoma City area but also open for those who live in our primary Mercy regions: Northwest Arkansas, Springfield, MO, St. Louis, MO or Cape Girardeau, MO.

Minimum Required Qualifications

• Education: Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, Economics, Data Analytics, or a related quantitative or healthcare field. Equivalent relevant experience may be considered.
• Experience: Five years of experience in Healthcare finance with experience specifically in managed care and/or revenue cycle.

Other Skills and Knowledge

• Excellent organizational, analytical and communication skills
• Advanced Microsoft Excel skills, including financial modeling and data analysis
• Experience with hospital reimbursement, analyzing healthcare financials, contracts, claims or revenue-cycle data sources preferred.

Preferred Qualifications

• Advanced degree (MBA, MHA, MPH or related field), CPA, or comparable healthcare finance credentials.

Why Mercy?

• medical coverage
• dental coverage
• vision coverage
• paid time off
• tuition support
• matched retirement plans for team members working 32+ hours per pay period

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Transforming the Health of Our Communities

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and visit them in their homes. In 1843, the Sisters of Mercy came to the United States. In 1856, they traveled to St. Louis. In the years to come, they would establish hospitals throughout the Midwest. Many of these would join together in 1986 as Mercy.

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