Manager-Managed Care Analysis

Mercy•Oklahoma City, OK
•Hybrid

About The Position

This position supports hospital managed care for West Communities, along with limited Mercy-wide responsibilities. The role includes managed care modeling and analysis for contract negotiations, communicating with and supporting Revenue Cycle in implementing contracts, and supporting escalated contract adjudication issues. The position reports to the Director, Managed Care Analysis and performs duties consistent with Mercy's mission, values, and Service Standards. It is hybrid, with on-site expectations at a Mercy location. Candidates in the Oklahoma City area are preferred; candidates in Mercy's primary regions of Northwest Arkansas, Springfield, St. Louis, or Cape Girardeau are also considered.

Requirements

  • Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Administration, Economics, Data Analytics, or a related quantitative or healthcare field; equivalent relevant experience may be considered.
  • Five years of healthcare finance experience, specifically in managed care and/or revenue cycle.
  • Excellent organizational, analytical, and communication skills.
  • Advanced Microsoft Excel skills, including financial modeling and data analysis.

Nice To Haves

  • Experience with hospital reimbursement and analysis of healthcare financials, contracts, claims, or revenue-cycle data sources.
  • Advanced degree (MBA, MHA, MPH, or related field), CPA, or comparable healthcare finance credentials.

Responsibilities

  • Support hospital managed care for West Communities and provide limited Mercy-wide support.
  • Perform managed care modeling and analysis for contract negotiations.
  • Communicate with and support Revenue Cycle regarding contract implementation.
  • Support escalated contract adjudication issues.
  • Perform duties consistent with Mercy's mission, values, and Service Standards.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Tuition support
  • Matched retirement plans for team members working 32 or more hours per pay period
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