Associate Managed Care Analyst

Overview

This role involves building and maintaining hospital, professional, and Ambulatory Surgery Center (ASC) contracts within the Epic system. The position also focuses on identifying underpaid accounts and clearly communicating the source of processing errors to payors.

Responsibilities

• Support senior analysts in constructing hospital, professional, and ASC contracts in Epic (40%)
• Manage underpayment accounts receivable for assigned payors, including recovering payments on underpaid accounts (25%)
• Collaborate with Revenue Cycle and Finance teams on contract building and analysis requests (25%)
• Assist in performing analyses to support reimbursement impact assessments (10%)
• Perform other duties as assigned or required

Minimum Qualifications

• Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or a related field
• Experience in finance, contracting, or data analysis
• Proficiency with Microsoft Office applications (Excel, PowerPoint, etc.)
• Ability to analyze and interpret various data types including financial results, operational metrics, and clinical outcomes
• Capability to work with large datasets and extract strategic insights impacting business operations and performance
• Strong time management skills to handle multiple projects and meet deadlines
• Excellent oral and written communication skills
• Ability to independently advance key projects with support from supervisors or peers

Preferred Qualifications

• Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or related field
• Epic Expected Reimbursement Contracts Certification
• Experience with hospital, physician, and ASC contracts
• Healthcare industry experience
• Knowledge of statistical or programming tools such as R or Python
• Understanding of healthcare reimbursement methodologies, particularly related to hospitals or providers
• Clinical background or general knowledge of hospital and physician practice operations

Compliance and Confidentiality

This position requires adherence to ethical and legal standards, including compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all relevant data security policies. Employees may have access to confidential customer information and must protect it at all times. Compliance with applicable federal and state laws, company policies, and training requirements is mandatory.

Compensation

• Pay range: $34.29 to $54.25 per hour
• Base pay is determined by qualifications, experience, expected contributions, internal equity, market, and business considerations
• Geographic differentials may apply based on location

Equal Opportunity

The employer prohibits discrimination against qualified individuals based on veteran status, disability, or any category protected by federal, state, or local law.

Location

Not specified