Healthcare Outcomes Performance
Managed Care Contracting Analyst - Remote
Healthcare Outcomes Performance, Phoenix, Arizona, United States, 85003
Employer Industry: Healthcare Analytics
Why consider this job opportunity: - Minimum of three years experience in a healthcare analytic role with a focus on physician reimbursement - Opportunity for career advancement and growth within the organization - Supportive and collaborative work environment - Chance to make a positive impact on financial performance and operational efficiency - Involvement in key decision-making processes related to healthcare contracts and reimbursement
What to Expect (Job Responsibilities): - Prepare analysis related to the financial and operational performance of healthcare contracts - Monitor and trend third-party reimbursement, including denial analysis - Create financial models to analyze data and report efficiently - Identify and analyze utilization patterns driving healthcare costs - Serve as a liaison between health plans and revenue cycle, providing recommendations for optimization
What is Required (Qualifications): - High school graduate or equivalent; Bachelors Degree in Finance or Healthcare Administration preferred - Minimum of three years experience working in an analytic role in a healthcare environment - Two or more years experience with Revenue Cycle Billing - In-depth knowledge of the Payor Reimbursement process and health plan billing claim paperwork - Strong ability to establish good working relationships with internal and external customers
How to Stand Out (Preferred Qualifications): - Experience in using relational databases and decision support systems - Proven skills in organizing daily work assignments and managing multiple tasks - Ability to communicate effectively with staff, leadership, and health plan representatives - Familiarity with health plan billing timelines and regulations
#HealthcareAnalytics #RevenueCycle #CareerOpportunity #FinancialAnalysis #HealthcareContracts
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. #J-18808-Ljbffr
Why consider this job opportunity: - Minimum of three years experience in a healthcare analytic role with a focus on physician reimbursement - Opportunity for career advancement and growth within the organization - Supportive and collaborative work environment - Chance to make a positive impact on financial performance and operational efficiency - Involvement in key decision-making processes related to healthcare contracts and reimbursement
What to Expect (Job Responsibilities): - Prepare analysis related to the financial and operational performance of healthcare contracts - Monitor and trend third-party reimbursement, including denial analysis - Create financial models to analyze data and report efficiently - Identify and analyze utilization patterns driving healthcare costs - Serve as a liaison between health plans and revenue cycle, providing recommendations for optimization
What is Required (Qualifications): - High school graduate or equivalent; Bachelors Degree in Finance or Healthcare Administration preferred - Minimum of three years experience working in an analytic role in a healthcare environment - Two or more years experience with Revenue Cycle Billing - In-depth knowledge of the Payor Reimbursement process and health plan billing claim paperwork - Strong ability to establish good working relationships with internal and external customers
How to Stand Out (Preferred Qualifications): - Experience in using relational databases and decision support systems - Proven skills in organizing daily work assignments and managing multiple tasks - Ability to communicate effectively with staff, leadership, and health plan representatives - Familiarity with health plan billing timelines and regulations
#HealthcareAnalytics #RevenueCycle #CareerOpportunity #FinancialAnalysis #HealthcareContracts
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. #J-18808-Ljbffr