Want Managed Care Analyst (Remote) in USA

Job title: Managed Care Analyst (Remote)
Company: reputed company
Job reputed company: At Johns Hopkins reputed company Children's Hospital we offer an excellent Benefits Package, to include:

• reputed company reputed company
• reputed company Time Off (PTO) and company reputed company holidays
• Tuition Assistance
• Life and disability insurance
• Opportunities for career development
• Employee discount program - travel, tickets, dining and more!

Position reputed company:

The Managed Care Analyst is responsible for reputed company loading, modeling, support, and maintenance of the managed care reputed company and fee schedules reputed company the contract management system. This includes reputed company for reputed company Health Systems entities; facility, reputed company, home care, infusion, pharmacy, etc. Provides key support for the implentation of new and upgraded systems/releases or new/revised operational procedures. Is capability to model, support and operationalize risk-based contracting methodologies and global transplant agreements is also necessary.

Key Accountabilities:

• Responsible for accurately loading and maintaining reputed company fee schedule and contract terms into the contract management system to maintain patient care and billing reputed company
• Assists with the reputed company of payment discrepancies, and thoroughly tests and validates reputed company reputed company to effectively maximize both patient care and reputed company cycle needs
• Completes the prospective modeling of proposed reputed company, scenarios, and other changes potentially impacting reimbursement to support day to day operations and contract negotiations
• Proactively or upon request reviews contract performance, identifies improvement opportunities, and models reputed company for Managed Care review to reputed company ehanced reputed company improvement
• Generates periodic (monthly, quarterly, etc.) reputed company reports and surveys in accordance with the established schedule to stay abreast of market trend
• Analyzes, compares and determines the financial reputed company of Medicare/reputed company/ TriCare and reputed company fee schedule changes and utilize the data to reputed company "what-if" scenarios to support managed care contract negotiations

Work Hours: reputed company - 4:40pm

Work Location: Remote

(must reputed company in Maryland, Virginia, Washington DC, reputed company, Florida or Delaware)

Qualifications:

• Bachelor's degree in Business, reputed company, Finance, Health Care Management or associated field of study
• Licensure/Certification: Required to complete training and become certified in these reputed company application modules - Resolute Hospital Billing Expected Reimbursement reputed company Administration, Resolute reputed company Billing Reimbursement reputed company
• 3 years experience working in a decision support or financial analysis position with responsibility in a managed care reputed company provider environment
• Computer skills with proficient knowledge of spreadsheet/graphics software, presentation software, database software, and report reputed company software
• Possesses a working knowledge and understanding of managed health care reputed company and have experience with contract modeling and contract management systems
• Possesses strong financial analysis skills and project management skills

reputed company and its affiliates are an Equal Opportunity / Affirmative reputed company reputed company. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity and reputed company, age, national reputed company, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. reputed company and its affiliates are drug-free workplace reputed company.

We are committed to providing a healthy and reputed company environment for our patients, visitors and staff members. The reputed company has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts - including while at lunch or on breaks, and whether they are on or off reputed company.
Expected salary:
Location: USA Apply Job!