Senior Analyst - Managed Care

Eye Care Partners Career Opportunities•Ballwin, MO

1d•Remote

About The Position

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com. SUMMARY Under the strategic direction of the VP, Managed Care, the Senior Financial Analyst/Regional Manager serves as the core analytical and execution engine for payor contracting. This role owns end‑to-end financial modeling, contract validation, payor benchmarking, and savings/KPI development, while also managing weekly pipeline reporting to Finance to ensure visibility into negotiation pacing, value realization, and downstream revenue impacts. The position is responsible for translating complex datasets into defensible negotiation materials that reflect real utilization patterns, payor behavior, and contract structures. The role challenges legacy assumptions, improves model accuracy in areas where data reliability is limited, and develops negotiation-ready analytics and presentation materials for executive and payor audiences.

Requirements

Advanced analytical and financial modeling skills (expert-level Excel).
Strong understanding of managed care contracting, reimbursement methodologies, and payor operations.
Demonstrated experience building negotiation-grade models and executive/payor-facing decks.
Proven ability to reconcile complex, messy data from multiple systems into defensible outputs.
Strong written and verbal communication skills, including drafting professional payor and executive materials.
Highly organized, detail-oriented, and able to operate in a fast-paced, deadline-driven environment.
Ability to work independently, prioritize effectively, and deliver same-day or rapid-turnaround analyses when required.
Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (or equivalent experience).
5–8+ years of experience in managed care contracting, financial analysis, reimbursement, or related roles.
Advanced proficiency in Microsoft Excel.
Proficiency in PowerPoint, Word, Outlook.

Nice To Haves

Experience supporting or participating directly in payor contract negotiations (provider or payor side).
Working knowledge of Revenue Cycle Management and medical billing concepts.
Experience working with EMRs, data warehouses, claims platforms, or payor portals.
Comfort operating in ambiguous data environments and improving analytical rigor over time.
Advanced degree (MBA, MHA, MSPH) a plus but not required.
Experience with data platforms (e.g., Snowflake), EMRs, payor portals, or claims systems strongly preferred.

Responsibilities

Own end-to-end financial modeling for payor negotiations, including rate modeling, scenario analysis, price transparency peer analyses, payor benchmarks, and savings/KPI development.
Build, maintain, and rapidly update models to support live negotiations and same-day payor counters.
Translate models into defensible, executive- and payor-facing presentation decks and negotiation materials.
Ensure analytical outputs are accurate, auditable, and aligned to real utilization, payor behavior, and contract structures.
Challenge legacy assumptions and improve model accuracy in areas where data is incomplete or unreliable.
Serve as the go-to analytical partner to contracting leadership during active negotiations.
Produce weekly pipeline reporting and ad hoc financial analyses for Finance and executive leadership.
Partner with Revenue Cycle, Business Operations, Implementation, and Provider Enrollment to ensure contracting decisions are operationally and financially aligned.
Surface operational, financial, and data risks tied to payor contracts and escalate with clear recommendations.
Monitor progress against contracting work plans and flag risks to delivery or negotiation outcomes.
Own reconciliation of inconsistent or conflicting data across multiple platforms.
Establish and maintain a reliable “source of truth” for negotiation models and KPI reporting.
Identify, resolve, and document data gaps, inconsistencies, and methodological risks.
Ensure all negotiation models and decks are built on defensible, transparent assumptions.
Support regional payor contracting activities across Commercial, Medicare, Medicaid, Exchange, and Value-Based agreements.
Own post-negotiation workflows, including: o Payor follow-ups and correspondence o Confirmation and documentation of agreed-upon terms o Tracking of payor responses, escalations, and timelines
Maintain clear, accurate status tracking for new and existing payor contracts.
Ensure contract changes, launches, and amendments are executed, documented, and tracked to completion.
Oversee collection, organization, and ongoing management of payor fee schedules.
Work cross-functionally with Revenue Cycle Management to access payor systems and retrieve accurate fee schedules.
Prioritize payors and CPT codes in collaboration with leadership and regional teams.
Develop and maintain processes for annual and ad hoc fee schedule updates.
Support RCM with fee schedule interpretation and CPT mapping as needed.
Manage multiple high-priority workstreams with speed, accuracy, and attention to detail.
Operate with a bias toward execution, clarity, and risk reduction.
Continuously improve modeling, reporting, and execution processes.
Perform other related duties and special projects as assigned.