Senior Managed Care Finance & Reimbursement Analyst

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

Job summary

WakeMed Health & Hospitals in Raleigh, North Carolina seeks a Senior Financial Specialist, Managed Care to analyze contract performance, build financial models, validate reimbursements, and generate reports to support negotiations and revenue optimization.

The role involves maintaining financial databases, investigating payment variances, and partnering with leaders to deliver actionable insights and support audits, contract reviews, and strategic financial projects.

Qualifications

• Bachelor's degree in Accounting required; Finance preferred.
• 4 years accounting/finance experience in healthcare or revenue cycle.
• Experience with managed care and reimbursement methodologies.
• Strong analytical and problem-solving skills.
• Experience with audits and contract reviews.

Responsibilities

• Analyze managed care contract performance and develop financial models for negotiations and strategic decisions.
• Validate claim payments and investigate reimbursement variances.
• Maintain financial reporting tools and databases for accurate analyses.
• Partner with leadership to provide actionable revenue insights and support initiatives.
• Support audits, contract reviews, and special financial projects.

Skills

Managed care

Reimbursement

Financial analysis

Revenue cycle

Data analysis

Education

Bachelor's Degree Accounting

Bachelor's Degree Finance

Job description

WakeMed Health & Hospitals in Raleigh, North Carolina seeks a Senior Financial Specialist, Managed Care to analyze contract performance, build financial models, validate reimbursements, and generate reports to support negotiations and revenue optimization.

The role involves maintaining financial databases, investigating payment variances, and partnering with leaders to deliver actionable insights and support audits, contract reviews, and strategic financial projects.