Managed Care Analyst / Managed Care / Full Time

Catawba • Conover, NC

1d • Onsite

About The Position

The Managed Care Analyst role at Catawba Valley Medical Center focuses on analyzing managed care operations and financial aspects within the healthcare system. This position is crucial for ensuring the hospital provides comprehensive, accessible, and high-quality healthcare services to the community. The role involves working with a vast healthcare network to facilitate communication between providers and the hospital, ensuring seamless patient care. Catawba Valley Medical Center is the region's largest not-for-profit community hospital, dedicated to healing, comforting patients, promoting community health, and ensuring access to care for all. They offer a wide array of medical specialties and are committed to providing the highest level of medical expertise using state-of-the-art technology.

Requirements

• Bachelor’s degree in healthcare administration, business, finance, economics, data science, or a related field is preferred.
• Alternatively, an Associate’s degree in healthcare, or finance with 2-3 years of experience in a hospital setting may be considered.
• In lieu of a degree; a minimum of 5-7 years of experience in healthcare analytics, managed care, financial analysis, or a similar field.
• One year of relevant experience is preferred.
• Candidates without experience must have completed a healthcare- or finance-related internship with strong references or possess a significant managed care or analytical background.
• Advanced Excel skills.
• Intermediate Word and PowerPoint skills.
• Strong analytical ability.
• Adaptability to new software.
• Strong communication skills.
• Strong customer service skills.
• Achieve basic proficiency within three months.

Nice To Haves

• Knowledge of healthcare reimbursement.
• Knowledge of managed care operations.
• Knowledge of CPT, DRGs, ICD-10.
• Knowledge of hospital and physician billing.
• Bachelor's degree in healthcare.

Responsibilities

• Analyze managed care operations and financial data.
• Ensure seamless care between primary care providers and the hospital.
• Facilitate communication between local physicians, medical specialists, and the hospital.
• Utilize analytical skills to interpret healthcare reimbursement and managed care data.
• Adapt to new software and technologies for data analysis and reporting.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree