Senior Analyst, Managed Care Analytics

Lumexa Imaging, Inc.; Nashville (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

Lumexa Imaging is seeking a Senior Analyst, Managed Care to lead complex data and financial analysis, interpretation of contract terms, and development of reimbursement methodologies across our managed care contracts.

The role emphasizes data extraction and validation using SQL, SAS, or Python, with reporting in Excel, Tableau, and Power BI to inform leaders and optimize revenue.

Qualifications

• 4+ years of experience in healthcare analytics.
• 3+ years of experience with SQL to extract and manipulate large datasets.
• 4+ years of experience presenting data and analytic observations with visual storytelling.
• Advanced proficiency in Excel with complex formulas and pivots.

Responsibilities

• Complete financial impact analysis of all contract activity, including modeling of contract financial terms, developing proposals, and recommending areas for revenue improvement.
• Monitor financial performance of current contracts including methodology and fee changes due to payor or source updates (CMS, Medicaid, etc.).
• Extract, validate, and manipulate large datasets utilizing programming skills such as SQL, SAS, or Python.
• Strategic financial analytics to include managed care impacts/forecasts related to increased services, new technology, or expanding service area.
• Present analytic findings with clear and concise work products in Excel, Tableau, and Power BI.
• Collaborate with Finance and Managed Care leadership to inform financial forecasts with year-over-year impacts of all contractual changes.

Skills

Data storytelling

Financial analytics

Education

Bachelor’s degree in Statistics/Math/Engineering/Finance/Health Admin

Tools

SQL

SAS

Python

Excel

Tableau

Power BI

Job description

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

Senior Analyst, Managed Care

Responsibilities include complex data and financial analysis, financial interpretation of contract terms, contract modeling, data validation, development of reimbursement methodologies and preparation of contract proposals utilizing sound rationale. The candidate must confidently present work product and make recommendations to leaders and executives that influence decision-making and optimize revenue. The candidate will support the organization by providing consultative and analytic support related to managed care, strategic initiatives, and other ad hoc analytic support as identified.

Responsibilities

• Complete financial impact analysis of all contract activity, including modeling of contract financial terms, developing proposals, and recommending areas for revenue improvement.
• Monitor financial performance of current contracts including consideration of methodology and fee changes due to payor or source updates (CMS, Medicaid, etc.).
• Extract, validate, and manipulate large datasets utilizing programming skills such as SQL, SAS, or Python.
• Strategic financial analytics to include financial managed care impacts/forecasts related to increased services, new technology, or expanding service area.
• Present analytic findings with clear and concise work products in Excel, Tableau, and Power BI.
• Collaborate with Finance and Managed Care leadership to inform financial forecasts with year-over-year impacts of all contractual changes.

Minimum Experience Requirements

• 4+ years of experience in healthcare analytics role.
• 3+ years of experience with SQL or other similar programming language to include creating, editing, and executing code to successfully manipulate and extract large datasets.
• 4+ years of experience in demonstrated ability to present data and analytic observations through impactful visual storytelling.
• Advanced proficiency in Excel including extensive experience in the use of complex formulas and pivots.
• Prefer candidate with experience utilizing professional or facility claims data.
• Prefer candidate with experiencing managed care contract terms.
• Prefer candidates with exposure to CMS professional payment methodology (i.e. CMS MPFS).
• Prefer candidate with experience in creating and optimizing Tableau dashboards for effective storytelling.

Education

• Bachelor’s degree (or higher) in Statistics, Mathematics, Engineering, Finance, Health Administration, or other closely related fields.

Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.

Lumexa Imaging is an equal opportunity employer.