Remote Managed Care Contracts Analyst

The CORE Institute; Phoenix (AZ); Remote; USD 85,000 - 110,000; Full time

Job summary

The CORE Institute is seeking a Managed Care Contracting Analyst (Remote) to analyze financial and operational performance of health care contracts, including Medicaid and other managed care products. The role involves creating financial models, monitoring reimbursements, and collaborating with revenue cycle and contracting teams to optimize payor outcomes.

The ideal candidate has at least three years in healthcare analytics, experience with relational databases and decision support systems, and

Qualifications

• Bachelor's degree in Finance or Healthcare Administration preferred.
• Minimum 3 years in analytics within a healthcare setting.
• Experience with revenue cycle and physician reimbursement.

Responsibilities

• Prepare analyses of financial and operational performance of healthcare contracts.
• Analyze Medicaid and other managed care products (HMO, PPO, POS).
• Monitor and trend third party reimbursement and denial analysis.
• Create financial models and reports for existing and new data sources.
• Collaborate across departments to optimize payor reimbursement outcomes.
• Identify trends driving healthcare costs and advise actions to improve financial performance.

Skills

Relationship building

Task organization

Multi-tasking

Communication

Analytical thinking

Education

Bachelor's degree in Finance

Bachelor's degree in Healthcare Administration preferred

High school graduate

Tools

Relational databases

Decision support systems

Analytics software

Job description

The CORE Institute is seeking a Managed Care Contracting Analyst (Remote) to analyze financial and operational performance of health care contracts, including Medicaid and other managed care products. The role involves creating financial models, monitoring reimbursements, and collaborating with revenue cycle and contracting teams to optimize payor outcomes.

The ideal candidate has at least three years in healthcare analytics, experience with relational databases and decision support systems, and