Senior Managed Care Finance & Analytics Specialist

WakeMed; Raleigh (NC); On-site; USD 85,000 - 120,000; Full time

Job summary

WakeMed invites applications for a Senior Financial Specialist, Managed Care to drive financial analysis of managed care contracts and reimbursement performance in Raleigh. You will develop models, validate payments, and deliver reporting to guide negotiations and optimization efforts.

The role emphasizes partnering with leaders, enhancing data accuracy, and contributing to audits and special projects that strengthen financial performance across the system.

Qualifications

• Bachelor's degree in Accounting is required; Finance is preferred.
• 4+ years in accounting/finance with emphasis on reimbursement.
• Experience with managed care contracts and revenue cycle processes.

Responsibilities

• Analyze managed care contract performance and develop financial models to support negotiations and strategic decisions.
• Validate claim payments, investigate reimbursement variances, and identify opportunities to improve financial performance.
• Maintain financial reporting tools and databases to ensure accurate, reliable analysis.
• Partner with leadership and stakeholders to provide actionable insights and support revenue optimization initiatives.
• Contribute to audits, contract reviews, and special projects that drive operational and financial improvements.

Skills

Managed care

Reimbursement

Financial analysis

Revenue cycle

Contracts

Education

Bachelor's Degree in Accounting

Bachelor's Degree in Finance

Job description

WakeMed invites applications for a Senior Financial Specialist, Managed Care to drive financial analysis of managed care contracts and reimbursement performance in Raleigh. You will develop models, validate payments, and deliver reporting to guide negotiations and optimization efforts.

The role emphasizes partnering with leaders, enhancing data accuracy, and contributing to audits and special projects that strengthen financial performance across the system.