Academy of Managed Care Pharmacy
Managed Care Analyst (Payer Relations)
Academy of Managed Care Pharmacy, Florida, New York, United States
Requisition ID:
2025-51508 Location:
US-- Position Type:
Full Time HR Rep / Recruiter:
Marcia Harrison Contact:
Responsibilities This high-impact role will be responsible for a variety of Managed Care data analytical functions, including complex models, analytics, forecasts, budgets risk assessments, and executive reporting. The incumbent is expected to contribute as a thought leader to influence the Managed Care team, as part of a fast paced and high growth environment.
Drive value across the Managed Care team by building complex reimbursement models, analyses, and reports.
Analyze historical rates to identify issues and opportunities; research and resolve reimbursement inquiries.
Retrieve and compile claims data to appropriately report on reimbursement and contracting trends.
Contribute to the Managed Care budget process, including coordination of resources, ensuring data integrity, and developing budget reports for presentation to the Managed Care team.
Continuous improvement of Managed Care modeling, reporting, and budgeting processes.
Support strategic planning initiatives and communicate the impact of financial and strategic analyses to Managed Care leadership.
Leverage advanced Excel skills to manage and analyze large data sets while handling multiple projects across the Managed Care team.
Qualifications Education/Experience:
Undergraduate degree in business, engineering, or other analytical field; advanced degree preferred but not required
4-7 years of related experience; healthcare experience strongly preferred.
Knowledge/Skills:
Complex project management skills
Strong customer service focus
Software:
Advanced MS Excel skills
Familiarity with multiple software packages/Business Intelligence software, specifically Microsoft and Microsoft SQL Server Management Studio
Benefits and Compensation Take great care of the patient, every day and every way.™
At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
About Us At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
Pediatrix is an Equal Opportunity Employer
PI280426559
#J-18808-Ljbffr
2025-51508 Location:
US-- Position Type:
Full Time HR Rep / Recruiter:
Marcia Harrison Contact:
Responsibilities This high-impact role will be responsible for a variety of Managed Care data analytical functions, including complex models, analytics, forecasts, budgets risk assessments, and executive reporting. The incumbent is expected to contribute as a thought leader to influence the Managed Care team, as part of a fast paced and high growth environment.
Drive value across the Managed Care team by building complex reimbursement models, analyses, and reports.
Analyze historical rates to identify issues and opportunities; research and resolve reimbursement inquiries.
Retrieve and compile claims data to appropriately report on reimbursement and contracting trends.
Contribute to the Managed Care budget process, including coordination of resources, ensuring data integrity, and developing budget reports for presentation to the Managed Care team.
Continuous improvement of Managed Care modeling, reporting, and budgeting processes.
Support strategic planning initiatives and communicate the impact of financial and strategic analyses to Managed Care leadership.
Leverage advanced Excel skills to manage and analyze large data sets while handling multiple projects across the Managed Care team.
Qualifications Education/Experience:
Undergraduate degree in business, engineering, or other analytical field; advanced degree preferred but not required
4-7 years of related experience; healthcare experience strongly preferred.
Knowledge/Skills:
Complex project management skills
Strong customer service focus
Software:
Advanced MS Excel skills
Familiarity with multiple software packages/Business Intelligence software, specifically Microsoft and Microsoft SQL Server Management Studio
Benefits and Compensation Take great care of the patient, every day and every way.™
At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
About Us At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
Pediatrix is an Equal Opportunity Employer
PI280426559
#J-18808-Ljbffr