We are seeking a highly motivated, detail‑oriented, and autonomous professional with a positive attitude to join our Managed Care Operations team, focusing specifically on healthcare contract analysis and reimbursement methodologies. This Managed Care Analyst role is ideal for someone who thrives in a fast‑paced environment, enjoys analytical work, and is committed to supporting accurate and strategic managed care contracting.
Key Responsibilities
- Interpret healthcare managed care contracts and government reimbursement methodologies to accurately build contract modeling calculations.
- Prepare pre‑negotiation analyses to support the development of effective payer contract negotiation strategies.
- Define, develop, and execute modeling and analytical processes for new and updated fee schedules and contracts.
- Query EMR and Practice Management Systems to gather data required for precise and comprehensive analysis.
- Collaborate with other Managed Care Operations teams on complex projects, providing analytical support as needed.
- Assist in creating new modeling templates, tools, and analytical frameworks to enhance team efficiency and accuracy.
- Perform additional analyses and job‑related duties as assigned