Managed Care Analyst - Capitation Revenue

Summary

MemorialCare is a nonprofit integrated health system committed to patient-centric, affordable, and high-quality healthcare. The Managed Care Analyst advances managed care contracting and operational strategies through financial analysis, contract modeling, reporting, and advisory support for hospitals, medical groups, an IPA, and a health plan.

Responsibilities

• Provide financial analysis and ad hoc reporting to internal stakeholders and leaders
• Collaborate with senior team members and cross-functional departments to design and run queries and reports based on external reporting requests, ensuring data integrity, actuaries and timeliness
• Model specific reimbursement terms to support the Managed Care negotiation team, including MCMF, MHS, and MCSHP
• Depending on reporting area(s) assigned, some or all of the following:
• Develop and maintain reporting templates to measure performance of health plan trend and yield to proactivity report out on monthly basis
• Support monthly financial close by proactively identifying trends, outliers, requested reports and answering inquiries
• Complete and distribute monthly reporting packages to internal stakeholders
• Applies strong analytical and problem-solving skills to evaluate complex data and business issues, leveraging both conventional and innovative approaches. Ability to work with minimal supervision, and take ownership of assigned analyses, deliverables, and issue resolution

Skills

• 2 years experience
• Proficient in SQL development and Epic systems, with advanced Excel capabilities, alongside strong command of Microsoft Office tools
• Extremely organized with strong sense of priority, urgency and commitment to deadlines
• Self-motivated individual able to handle fluctuating volumes of work , able to prioritize to meet deadlines
• Bachelor's degree in Business, Finance or Healthcare, required
• Preferably in Managed Care analytic setting

Qualifications

Must Haves

• 2 years experience
• Proficient in SQL development and Epic systems, with advanced Excel capabilities, alongside strong command of Microsoft Office tools
• Extremely organized with strong sense of priority, urgency and commitment to deadlines
• Self-motivated individual able to handle fluctuating volumes of work , able to prioritize to meet deadlines
• Bachelor's degree in Business, Finance or Healthcare, required

Nice to Haves

• preferably in Managed Care analytic setting

Benefits

• Additional compensation may be available, including shift differentials, extra shift incentives, and bonus opportunities.
• High quality health insurance plan options for employees and their dependents.
• Predominately Remote work arrangement.