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Associate Managed Care Analyst

Associate Managed Care Analyst

Highmark HealthFL, Working at Home, Florida
30+ days ago
Salary
$48.21 hourly
Job type
  • Full-time
Job description

Description

GENERAL OVERVIEW :

This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error to the payor.

ESSENTIAL RESPONSIBILITIES

  • Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
  • Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
  • Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
  • Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
  • Perform other duties as assigned or required.

QUALIFICATIONS : Minimum

  • Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
  • Experience in finance, contracting, or data analysis
  • Epic Expected Reimbursement Contracts Certification (Must receive with 6 months of hire)
  • Microsoft Office (Excel, PowerPoint, etc.)
  • Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
  • Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance
  • Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
  • Strong oral and written communication skills
  • Ability to independently make progress on key projects with support from supervisor or peer analysts

    • Preferred

  • Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
  • Experience with hospital, physician, and ASC contracts
  • Experience in healthcare
  • R, Python, or other statistical / programming tools
  • Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
  • Clinical background or general understanding of hospital / physician practice operations

    • Pay Range Minimum : 30.82

    Pay Range Maximum : 48.21

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.

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    Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()

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