Highmark Health logo
Highmark Health

Creating remarkable health experiences, freeing people to be their best.

Associate Managed Care Analyst

AnalystAnalystFull TimeRemoteMid LevelTeam 10,001+Since 1852H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

5 days ago

Salary

$34 - $54 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

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 Requirements This section is intentionally left blank. Benefits This section is intentionally left blank. Company Description This section is intentionally left blank.

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