Managed Care Analyst II

Sutter Health • Sacramento, CA

1d • $38 - $57

About The Position

Provides independent high-level document management to include complex tracking of legal and formal business language to support systemwide contract negotiations and administration on behalf of Sutter affiliates. Creates documents with the highest possible level of accuracy specific to appropriate wording, context and formatting to ensure accurate document interpretation, including tracking document input from multiple parties including legal representatives.

Requirements

• Bachelor's: Accounting, Finance, Economics, Statistics, Business or Healthcare Administration or related field
• 2 years recent relevant experience
• Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures.
• Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal, Medicare, fee-for-service, capitation/sub-capitation) for various types of healthcare entities (e.g., hospital, skilled nursing facilities, physician, ancillary and professional service providers).
• Knowledge of healthcare/hospital accounting systems and audit processes.
• Familiar with healthcare contracting terminologies.
• Knowledge of healthcare/hospital operations and structure.
• Knowledgeable of the unique operational and financial reporting requirements that include incurred but not reported (IBNR) calculations/adjustments, Division of Financial Responsibility (DOFR) assessment and valuation, modeling and assessing plan health factors and population normalization principles.
• Ability to translate financial data and analysis into reports and presentations for appropriate audience.
• Critical thinking and quantitative analytical abilities to work with large and complex data sets.
• Organization skills and attention to details.
• Ability to read, comprehend, interpret and apply policies, procedures, practices, contract language, and regulatory and legal requirements, including financial reports.
• Displays a customer service focus in all decisions and actions.
• Ability to prioritize workload to complete assignments accurately and timely, and to meet strict timelines.
• Ability to communicate through verbal and written means, and to present information to a variety of audiences
• Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.
• Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.
• Demonstrates initiative in providing feedback/input to improve workflow/processes.
• Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.
• Ability to maintain and work discreetly with confidential information.
• Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.

Benefits

• Sutter Health values and supports the unique talents and strengths that each employee brings to our organization. As a result, you are empowered to apply your passion for healing in innovative ways to care for patients and their families.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees