[Hiring] Associate Managed Care Analyst @Highmark Health

Role Description

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.

• 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
  • 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
  • Epic Expected Reimbursement Contracts Certification
  • 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

Company Description