Associate Managed Care Analyst

Highmark Health

2d • Onsite

About The Position

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.

Requirements

• 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

Nice To Haves

• 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

Responsibilities

• 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.

Benefits

• Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees