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Emerus Holdings, Inc. logo
Emerus Holdings, Inc.

Healthcare Built Around You.

Senior Managed Care Contract, Data Analyst

Data AnalystData AnalystFull TimeRemoteSeniorTeam 1,001-5,000Since 2006H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

59 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglishSQL

Job Description

Senior Managed Care Contract, Data Analyst

Emerus Holdings, Inc.

• Serve as the managed care liaison and subject matter expert for joint venture hospital partners, revenue cycle billing and collections teams, and finance department leaders. • Compile and analyze payer performance metrics for reporting to organizational leadership. • Maintains up-to-date managed care contract databases to streamline collections, support analysis, and share contract terms efficiently. • Assist the revenue cycle team by loading and maintaining current payer rates in an insured allowed/payment validation module. • Perform random audits of claim payments to ensure payer compliance with managed care agreements. • Support special projects, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities. • Build contract models to assess current performance yields and evaluate new contract proposals. • Collaborate with the revenue cycle team to identify underpaid/overpaid claims and develop initiatives to secure accurate payments. • Provide managed care insights and contract modeling (e.g., rate escalators, charge master updates, new contract yields) to support the finance team’s annual budget process. • Aid the revenue recognition team during month-end close by offering managed care perspectives on key revenue-influencing items. • Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files. • Represent managed care in joint venture board meetings or monthly operational reviews as required. • Conduct financial data analysis and respond to internal/external inquiries from management. • Provide clear explanations and actionable recommendations on managed care topics. • Contribute to cross-functional projects with Finance, Operations, Revenue Cycle, and Business Development, delivering ad-hoc analysis as needed. • Attend required staff meetings, company-sponsored events, or mandated gatherings. • Take ownership of personal professional development. • Perform additional duties as assigned.

Job Requirements

  • Bachelor’s degree in Finance, Accounting, Business Administration, or equivalent experience required.
  • Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes.
  • Proven ability to build financial and statistical models, analyze data, and drive actionable results.
  • Excellent organizational, written, and verbal communication skills.
  • Advanced Microsoft Excel modeling skills (required); proficiency in Word, PowerPoint, and Outlook (essential).
  • Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL
  • Intermediate knowledge of data preparation and visualization techniques using PowerBI
  • Strong analytical and problem-solving capabilities.
  • Comfortable working in a fast-paced environment with minimal supervision.
  • Ability to meet deadlines while managing multiple projects and delivering high-quality work.
  • Detail-oriented with a strategic, big-picture mindset.

Benefits

  • 2.5% annual bonus opportunity
  • Medical/Dental/Vision Benefits
  • 401K matching up to 4%
  • PTO plan
  • tuition reimbursement
  • more!

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