Managed Care Analyst

Baptist Health CarePensacola, FL

About The Position

The Managed Care Analyst supports the financial analysis, modeling, and implementation of managed care contracts within Epic. This role translates contract terms into accurate reimbursement models, evaluates contract performance, and supports payer negotiations through data-driven insights. The position partners closely with Managed Care, Revenue Cycle, Finance, and Epic application teams to ensure contract accuracy, optimal reimbursement, and revenue integrity. Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA.  Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse [https://info.flclearinghouse.com/].

Requirements

  • Experience with financial analysis, modeling, and implementation of managed care contracts within Epic.
  • Ability to translate contract terms into accurate reimbursement models.
  • Skills in evaluating contract performance.
  • Capability to support payer negotiations through data-driven insights.
  • Strong partnership skills with Managed Care, Revenue Cycle, Finance, and Epic application teams.

Responsibilities

  • Supports the financial analysis, modeling, and implementation of managed care contracts within Epic.
  • Translates contract terms into accurate reimbursement models.
  • Evaluates contract performance.
  • Supports payer negotiations through data-driven insights.
  • Partners closely with Managed Care, Revenue Cycle, Finance, and Epic application teams to ensure contract accuracy, optimal reimbursement, and revenue integrity.
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