Strategic Managed Care Analyst: Analytics & Contracting

MemorialCare; United States; Remote; USD 57,000 - 71,000; Full time

Benefits offered by this job

Health insurance

Job summary

MemorialCare is seeking a Managed Care Analyst to advance contracting and operational strategies through financial analysis, contract modeling, and advisory support. This system-level role reports to the Manager of Managed Care Analytics and supports all MHS entities including hospitals, foundation, IPA, and health plan.

Responsibilities include assembling and analyzing financial data from Snowflake and various financial systems, evaluating payer arrangements such as Medicare Advantage and

Qualifications

• Minimum 2 years of experience in a managed care analytic setting.
• Proficiency in SQL, Epic, and advanced Excel.
• Bachelor's degree in Business, Finance, or Healthcare required.

Responsibilities

• Assemble and analyze financial data from sources such as Snowflake, payor capitation data, cost accounting, GL, budgeting, and patient billing.
• Evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.
• Develop reporting templates to measure health plan trend and yield, and support monthly financial close by identifying trends and outliers.

Skills

Analytical thinking

Financial analysis

SQL

Epic

Excel (Advanced)

Education

Bachelor's degree in Business/Finance/Healthcare

Tools

SQL

Epic

Excel

Job description

MemorialCare is seeking a Managed Care Analyst to advance contracting and operational strategies through financial analysis, contract modeling, and advisory support. This system-level role reports to the Manager of Managed Care Analytics and supports all MHS entities including hospitals, foundation, IPA, and health plan.

Responsibilities include assembling and analyzing financial data from Snowflake and various financial systems, evaluating payer arrangements such as Medicare Advantage and