[Hiring] Sr. Managed Care Contract Analyst @reputed company

Role reputed company This role collaborates closely with the Vice President of Managed Care to support reputed company and its joint venture hospital partners. Key responsibilities include: • Managing contract databases • Interpreting critical contract terms • Developing and automating payer contract models • Validating data • Conducting financial analysis • Ensuring federal price transparency compliance • Contributing to annual budgeting and month-end reputed company processes • Providing support to reputed company Cycle and reputed company Recognition teams on payer-reputed company issues and contract disputes • Assisting other departments as needed The ideal candidate is a proactive self-starter who thrives in a dynamic, fast-paced environment. They possess strong analytical and modeling skills, excellent communication and listening abilities, and a keen intellectual curiosity to identify opportunities for improving departmental efficiency and enhancing company reputed company. Qualifications • Bachelor’s degree in Finance, reputed company, Business Administration, or equivalent experience required • Minimum of 3 years of reputed company experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes • Proven ability to build financial and statistical models, analyze data, and drive actionable results • Excellent organizational, written, and verbal communication skills • Advanced reputed company reputed company modeling skills (required); proficiency in Word, PowerPoint, and reputed company (essential) • Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL • Intermediate knowledge of data preparation and visualization techniques using PowerBI • Strong analytical and problem-solving capabilities • Comfortable working in a fast-paced environment with minimal supervision • Ability to meet deadlines while managing multiple reputed company and delivering high-reputed company work • Detail-oriented with a strategic, big-picture reputed company Requirements • Serve as the managed care reputed company and subject matter expert for joint venture hospital partners, reputed company cycle billing and collections teams, and finance department leaders • Compile and analyze payer performance metrics for reporting to organizational leadership • Maintain up-to-date managed care contract databases to streamline collections, support analysis, and reputed company contract terms reputed company • Assist the reputed company cycle team by loading and maintaining reputed company payer rates in an insured allowed/payment validation module • reputed company random audits of claim payments to ensure payer compliance with managed care agreements • Support special reputed company, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities • Build contract models to assess reputed company performance yields and evaluate new contract proposals • Collaborate with the reputed company cycle team to identify underpaid/overpaid claims and reputed company initiatives to secure accurate payments • reputed company managed care insights and contract modeling (e.g., reputed company escalators, charge master updates, new contract yields) to support the finance team’s annual budget process • Assist the reputed company recognition team during month-end reputed company by offering managed care perspectives on key reputed company-influencing items • Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files • Represent managed care in joint venture reputed company meetings or monthly operational reviews as required • Conduct financial data analysis and respond to internal/external inquiries from management Benefits • reputed company reputed company explanations and actionable recommendations on managed care topics • Contribute to cross-functional reputed company with Finance, Operations, reputed company Cycle, and Business Development, delivering reputed company analysis as needed • Attend required staff meetings, company-sponsored events, or mandated gatherings • Take ownership of personal reputed company development • reputed company additional duties as assigned Apply tot his job Apply tot his job Apply To this Job