Job Description

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

Qualifications

• Ability to thrive in a dynamic, fast paced environment while demonstrating strong organization, attention to detail, flexibility, and consistent accuracy

• Ability to adapt effectively within both decentralized operations models and centralized department structures

• Minimum of two years of analytical experience in the healthcare industry, with extensive knowledge of healthcare reimbursement methodologies and concepts

• Strong oral and written communication skills, with the ability to work independently and apply a high degree of critical thinking

• Bachelor’s degree in economics, finance, or a related discipline preferred

• Proficiency in financial impact analysis, impact modeling, predictive modeling, and data manipulation

• Advanced Excel skills, including experience working with large datasets, building complex reports, using lookup formulas, creating pivot tables, and applying advanced functions/formulas

• Solid understanding of Medicaid and Medicare programs, as well as payer contract language

• Customer service oriented with the ability to build and maintain strong working relationships

• Proven ability to manage multiple projects simultaneously and meet established deadlines

Additional Information

All your information will be kept confidential according to EEO guidelines.