RWJBarnabas Health
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
RWJBarnabas Health, Oceanport, New Jersey, us, 07757
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
Join to apply for the
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
role at
RWJBarnabas Health Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
1 week ago Be among the first 25 applicants Join to apply for the
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
role at
RWJBarnabas Health Get AI-powered advice on this job and more exclusive features. Req #:
0000205920
Category:
Professional / Management
Status:
Full-Time
Shift:
Day
Facility:
RWJBarnabas Health Corporate Services
Department:
Managed Care
Pay Range:
$62,476.00 - $88,248.00 per year
Location:
2 Crescent Place, Oceanport, NJ 07757
Job Title:Senior Analyst
Location:System Business Office
Department Name:Managed Care
Req #:0000205920
Status:Salaried
Shift:Day
Pay Range: $62,476.00 - $88,248.00, Annual
Pay Transparency
The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.
The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience,
Job Overview
The Senior Managed Care Analyst assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling, payer relationship management and contract performance review.
Additionally, the position will collaborate with all departments of the revenue chain to ensure revenue optimization for the health system.
Qualifications
Required:
Bachelors Degree required preferably in Finance, Accounting, or Healthcare related field, Advanced knowledge of Microsoft Office applications, especially Excel Experience working with complex and sophisticated managed care contracts Strong analytical skills with ability to manipulate large data sets into meaningful information Must possess strong interpersonal and email communication skills
Preferred
Five years of experience relating to healthcare reimbursement, strongly preferred, Experience solving difficult problems relating to reimbursement, contract modeling and revenue cycle functions, strongly preferred, Experience with EPIC is preferred
Scheduling Requirements
Hybrid/Remote- Expectation to come onsite approx once a quarter, this is subject to change. Onsite location varies given business/client need.
Essential Functions
Analytical lead on modeling contract rates using EPIC throughout the managed care contract negotiation process, Assists in varying aspects of managed care payor negotiations including proposals, rate validation, rebalancing, language review and communication with insurance companies, Evaluate payor performance relating to profitability, benchmarking, denials, contract compliance and retrospective reviews, Collaborates with the system business office to provide support relating to contract interpretation, denial reviews, payment variances, and cost-based audit reviews, Supports the loading of payor contracts into the contract management system and validates accuracy at time of implementation, Collaborates with hospitals on creation and/or review of revenue proformas relating to new service offerings, Leads managed care payor projects in determining financial impact and progress tracking, Works with outside vendors on projects relating to revenue recovery and strategic pricing assessments, Research changes relating to managed care payor policies and determine financial impact to the health system, Models financial impact of new technologies, and provides timely notification to payers in accordance with contractual terms, Serves as a managed care resource across the organization assisting with reimbursement inquires, contractual rate grids, facility credentialing and various ad hoc requests, Assists in CMS-mandated price transparency efforts to ensure compliance to regulations and policies, Special projects as assigned,
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Additional Information
Benefits and Perks:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short- & Long-Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jerseywhether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
RWJBarnabas Health is an Equal Opportunity Employer
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at RWJBarnabas Health by 2x Get notified about new Senior Healthcare Analyst jobs in
Oceanport, NJ . PATIENT ACCESS ANALYST - FULL TIME - DAY
Patient Access Analyst - Full Time - Day
BH Clinical Quality Management Analyst Sr. CPHQ/HCQM
Iselin, NJ $84,088.00-$105,110.00 5 days ago REMOTE CPC Denials and Escalations Analyst
West Long Branch, NJ $25.00-$32.00 1 week ago West Long Branch, NJ $25.00-$32.00 1 week ago East Brunswick, NJ $71,200.00-$127,200.00 1 day ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Join to apply for the
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
role at
RWJBarnabas Health Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
1 week ago Be among the first 25 applicants Join to apply for the
Senior Managed Care Analyst (Hybrid/Remote) - Oceanport, NJ
role at
RWJBarnabas Health Get AI-powered advice on this job and more exclusive features. Req #:
0000205920
Category:
Professional / Management
Status:
Full-Time
Shift:
Day
Facility:
RWJBarnabas Health Corporate Services
Department:
Managed Care
Pay Range:
$62,476.00 - $88,248.00 per year
Location:
2 Crescent Place, Oceanport, NJ 07757
Job Title:Senior Analyst
Location:System Business Office
Department Name:Managed Care
Req #:0000205920
Status:Salaried
Shift:Day
Pay Range: $62,476.00 - $88,248.00, Annual
Pay Transparency
The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.
The Compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience,
Job Overview
The Senior Managed Care Analyst assists with aspects of the fee-for-service environment related to contract negotiations, rate modeling, payer relationship management and contract performance review.
Additionally, the position will collaborate with all departments of the revenue chain to ensure revenue optimization for the health system.
Qualifications
Required:
Bachelors Degree required preferably in Finance, Accounting, or Healthcare related field, Advanced knowledge of Microsoft Office applications, especially Excel Experience working with complex and sophisticated managed care contracts Strong analytical skills with ability to manipulate large data sets into meaningful information Must possess strong interpersonal and email communication skills
Preferred
Five years of experience relating to healthcare reimbursement, strongly preferred, Experience solving difficult problems relating to reimbursement, contract modeling and revenue cycle functions, strongly preferred, Experience with EPIC is preferred
Scheduling Requirements
Hybrid/Remote- Expectation to come onsite approx once a quarter, this is subject to change. Onsite location varies given business/client need.
Essential Functions
Analytical lead on modeling contract rates using EPIC throughout the managed care contract negotiation process, Assists in varying aspects of managed care payor negotiations including proposals, rate validation, rebalancing, language review and communication with insurance companies, Evaluate payor performance relating to profitability, benchmarking, denials, contract compliance and retrospective reviews, Collaborates with the system business office to provide support relating to contract interpretation, denial reviews, payment variances, and cost-based audit reviews, Supports the loading of payor contracts into the contract management system and validates accuracy at time of implementation, Collaborates with hospitals on creation and/or review of revenue proformas relating to new service offerings, Leads managed care payor projects in determining financial impact and progress tracking, Works with outside vendors on projects relating to revenue recovery and strategic pricing assessments, Research changes relating to managed care payor policies and determine financial impact to the health system, Models financial impact of new technologies, and provides timely notification to payers in accordance with contractual terms, Serves as a managed care resource across the organization assisting with reimbursement inquires, contractual rate grids, facility credentialing and various ad hoc requests, Assists in CMS-mandated price transparency efforts to ensure compliance to regulations and policies, Special projects as assigned,
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Additional Information
Benefits and Perks:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
Paid Time Off (PTO) Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short- & Long-Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jerseywhether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
RWJBarnabas Health is an Equal Opportunity Employer
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at RWJBarnabas Health by 2x Get notified about new Senior Healthcare Analyst jobs in
Oceanport, NJ . PATIENT ACCESS ANALYST - FULL TIME - DAY
Patient Access Analyst - Full Time - Day
BH Clinical Quality Management Analyst Sr. CPHQ/HCQM
Iselin, NJ $84,088.00-$105,110.00 5 days ago REMOTE CPC Denials and Escalations Analyst
West Long Branch, NJ $25.00-$32.00 1 week ago West Long Branch, NJ $25.00-$32.00 1 week ago East Brunswick, NJ $71,200.00-$127,200.00 1 day ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr