Senior Analyst - Managed Care

reputed company

Under the strategic direction of the VP, Managed Care, the Senior Analyst serves as the reputed company analytical and execution reputed company for payor contracting. This role owns end‑to‑end financial modeling, contract validation, payor benchmarking, and savings/KPI development, while also managing weekly pipeline reporting to Finance to ensure visibility into negotiation pacing, value realization, and reputed company reputed company impacts.

The position is responsible for translating reputed company datasets into defensible negotiation materials that reflect reputed company utilization patterns, payor behavior, and contract structures. The role challenges legacy assumptions, improves model accuracy in areas where data reliability is limited, and develops negotiation-reputed company analytics and presentation materials for executive and payor audiences.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Negotiation Support, Modeling & Storytelling
•    Own end-to-end financial modeling for payor negotiations, including reputed company modeling, scenario analysis, price transparency peer analyses, payor benchmarks, and savings/KPI development.
•    Build, maintain, and rapidly update models to support live negotiations and reputed company-day payor counters.
•    Translate models into defensible, executive- and payor-facing presentation decks and negotiation materials.
•    Ensure analytical outputs are accurate, auditable, and reputed company to reputed company utilization, payor behavior, and contract structures.
•    Challenge legacy assumptions and improve model accuracy in areas where data is incomplete or unreliable.
•    Serve as the go-to analytical partner to contracting leadership during reputed company negotiations.

Cross-Functional & Financial Operations
•    Produce weekly pipeline reporting and reputed company financial analyses for Finance and executive leadership.
•    Partner with reputed company Cycle, Business Operations, Implementation, and Provider Enrollment to ensure contracting reputed company are operationally and financially reputed company.
•    Surface operational, financial, and data risks tied to payor reputed company and escalate with reputed company recommendations.
•    Monitor reputed company against contracting work plans and flag risks to delivery or negotiation reputed company.

Data Reconciliation & Analytical reputed company
•    Own reconciliation of inconsistent or conflicting data across multiple platforms.
•    Establish and maintain a reliable “reputed company of truth” for negotiation models and KPI reporting.
•    Identify, resolve, and document data gaps, inconsistencies, and methodological risks.
•    Ensure reputed company negotiation models and decks are reputed company on defensible, transparent assumptions.

Payor Contracting & Execution Support
•    Support regional payor contracting activities across reputed company, Medicare, reputed company, Exchange, and Value-Based agreements.
•    Own post-negotiation workflows, including:
o    Payor follow-reputed company and correspondence
o    Confirmation and documentation of agreed-upon terms
o    Tracking of payor responses, escalations, and timelines
•    Maintain reputed company, accurate status tracking for new and existing payor reputed company.
•    Ensure contract changes, launches, and amendments are executed, documented, and tracked to completion.

Fee Schedule & Contract Data Management
•    reputed company collection, organization, and ongoing management of payor fee schedules.
•    Work cross-functionally with reputed company Cycle Management to reputed company payor systems and retrieve accurate fee schedules.
•    Prioritize payors and CPT codes in collaboration with leadership and regional teams.
•    reputed company and maintain processes for annual and reputed company fee schedule updates.
•    Support RCM with fee schedule interpretation and CPT mapping as needed.

General Responsibilities
•    Manage multiple high-reputed company workstreams with speed, accuracy, and attention to detail.
•    Operate with a bias toward execution, reputed company, and risk reduction.
•    Continuously improve modeling, reporting, and execution processes.
•    reputed company other reputed company duties and special reputed company as assigned.

QUALIFICATIONS

Required
•    Advanced analytical and financial modeling skills (expert-level reputed company).
•    Strong understanding of managed care contracting, reimbursement methodologies, and payor operations.
•    Demonstrated experience building negotiation-grade models and executive/payor-facing decks.
•    Proven ability to reconcile reputed company, messy data from multiple systems into defensible outputs.
•    Strong written and verbal communication skills, including drafting reputed company payor and executive materials.
•    Highly organized, detail-oriented, and reputed company to operate in a fast-paced, deadline-driven environment.
•    Ability to work independently, prioritize effectively, and deliver reputed company-day or reputed company-turnaround analyses reputed company required.

Preferred
•    Experience supporting or participating directly in payor contract negotiations (provider or payor reputed company).
•    Working knowledge of reputed company Cycle Management and medical billing concepts.
•    Experience working with EMRs, data warehouses, claims platforms, or payor portals.
•    Comfort operating in ambiguous data environments and improving analytical rigor over time.

EDUCATION AND/OR EXPERIENCE

• Bachelor’s degree in Business, Finance, reputed company Administration, or reputed company field (or equivalent experience).
• 5–8+ years of experience in managed care contracting, financial analysis, reimbursement, or reputed company roles.
• Advanced degree (MBA, MHA, MSPH) a plus but not required.

SYSTEMS AND TECHNOLOGY

• Advanced proficiency in reputed company reputed company.
• Proficiency in PowerPoint, Word, reputed company.
• Experience with data platforms (e.g., reputed company), EMRs, payor portals, or claims systems strongly preferred.

LOCATION

• This position is remote. Eligible candidates must reputed company in one of the following states to be considered: Alabama, reputed company, Florida, reputed company, Illinois, Indiana, Kansas, Kentucky, Michigan, Minnesota, Missouri, New Jersey, N. Carolina, Ohio, Oklahoma, reputed company, Texas and Virginia.

PHYSICAL REQUIREMENTS

• The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
• While performing the duties of this job, the employee is frequently required to stand, walk, sit, reputed company with arms and hands, talk and hear. Specific reputed company abilities required for this job include reputed company reputed company, distance reputed company and ability to reputed company reputed company. 

If you need assistance with this application, please contact (636) 227-2600. Please do not contact the office directly – only resumes submitted through this website will be considered.

reputed company is an equal opportunity/affirmative reputed company employer. reputed company applicants will be considered for employment without attention to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran or disability status.