Manager, Managed Care Analytics & Revenue Optimization

Socket.dev

Pensacola (FL)

On-site

USD 110,000 - 140,000

Full time

3 days ago

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Job summary

Baptist Health Care in Pensacola, FL seeks a Manager for Managed Care Reporting & Analytics to lead a analysts team supporting contracting activities. You will analyze payer performance, develop dashboards, and drive revenue improvements while ensuring regulatory compliance.

The role requires a strong background in healthcare analytics, leadership, and familiarity with value-based care. Senate a collaborative, high-excellence team environment and deliver data-driven insights to senior management.

Qualifications

Bachelor's degree required in business, finance, health care administration or related field.
Master's degree preferred in the same fields.
5 years in Finance, Managed Care, or Revenue Cycle Analytics; 1 year leadership preferred.

Responsibilities

Lead a team of analysts supporting managed care contracting activities.
Analyze payer performance data to identify trends and opportunities for revenue improvement.
Develop and maintain payer dashboards and reports to track KPIs by payer.
Provide actionable insights to senior management based on data analysis.
Monitor contract compliance and address reimbursement issues like denials and underpayments.
Implement processes to ensure regulatory compliance for payer contracts.
Foster a collaborative, innovative team environment focused on productive outcomes.
Oversee department operations and ensure quality services per policies and standards.
Manage recruitment, development, coaching, and evaluation of team members.
Oversee fiscal management and proper utilization of financial resources.
Communicate departmental and organizational information to staff.