Senior Managed Care Analyst: Contract Negotiation & Revenue

Mosaic Life Care; Saint Joseph (MO); On-site; USD 85,000 - 105,000; Full time

Job summary

Mosaic Life Care is seeking a Senior Managed Care Analyst to lead contract evaluation, negotiation and monitoring across hospital, retail, physician and Mosaic Life Care services. The role also oversees net revenue analysis, price negotiations and contract performance audits.

The ideal candidate has strong analytical skills, healthcare financial experience, and the ability to drive improvements through data-driven term changes.

Qualifications

• 5 years healthcare or related financial analysis experience.
• Proficient with Excel, Word, Access.
• Strong analytical and problem-solving skills.
• Ability to work with limited supervision.

Responsibilities

• Provides managed care expertise to the organization.
• Performs contract reviews and negotiations with managed care organizations specific to the contractual and financial terms.
• Evaluates reimbursement methodologies and payor policy to determine financial impact to the organization.
• Monitors financial performance of managed care plans to determine opportunity to improve overall reimbursement through changes in contract terms or improved internal/external processes.
• Provides analysis and research specific to managed care for new programs/service lines.
• Maintains, validates and models payment information for cost accounting system and monthly reporting.
• Works with PFS and Payment Validation to identify trends and opportunities for enhanced reimbursement.
• Maintain the estimated collection percentage on our expected reimbursement semi-annually in the cost accounting system.
• Provides in-service education, as needed, to caregivers in other departments.
• Investigate and resolve payor issues.
• Other duties as assigned

Skills

Managed care expertise

Negotiation skills

Analytical thinking

Team leadership

Education

Bachelor's Degree in Accounting/Finance or related field

Tools

Excel

Word

Access

Windows

Job description

Mosaic Life Care is seeking a Senior Managed Care Analyst to lead contract evaluation, negotiation and monitoring across hospital, retail, physician and Mosaic Life Care services. The role also oversees net revenue analysis, price negotiations and contract performance audits.

The ideal candidate has strong analytical skills, healthcare financial experience, and the ability to drive improvements through data-driven term changes.