Senior Managed Care Analyst

Children’s National Hospital • Silver Spring, MD

78d

About The Position

The Senior Managed Care Analyst will collect and analyze data on costs, charges and utilization to support negotiations with managed care companies. Will develop and implement appropriate tools to expedite effective evaluation and monitoring of managed care contract performance and service utilization.

Requirements

• Bachelor's Degree in Business, Accounting, Health Care Administration, Economics or Mathematics (Required).
• 3 years of relevant work experience in financial and/or utilization analysis (Required).
• Proven analytical skills including ability to make recommendations based on financial analyses.
• Superior PC skills including proficiency in word, spreadsheet analysis and database management.
• Experience with financial and utilization analysis.
• Ability to work in a team environment with other analysts, managers, and physicians.
• Strong communication and organizational skills.
• Proficiency in presentation of analytical results.
• Previous experience in health care is highly desirable, including experience with hospital/physician information and patient accounting information systems.

Nice To Haves

• Master's Degree (Preferred).

Responsibilities

• Develop reports to assess existing contracts by type of service.
• Develop models to assess impact of alternative contract rates to support negotiations.
• Provide updated reports for inpatient and outpatient service categories.
• Complete ad hoc reports for individual payors as needed.
• Provide routine reports to monitor plan utilization and contract performance.
• Provide comprehensive reports for evaluation of FY results.
• Provide analysis of cost information using available cost tables.
• Speak up when team members appear to exhibit unsafe behavior or performance.
• Continuously validate and verify information needed for decision making or documentation.
• Stop in the face of uncertainty and take time to resolve the situation.
• Demonstrate accurate, clear and timely verbal and written communication.
• Actively promote safety for patients, families, visitors and co-workers.
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance.
• Review rules and identify problem areas to assure expected payments are correct.
• Partner in the mission and uphold the core principles of the organization.
• Anticipate and respond to customer needs; follow up until needs are met.
• Demonstrate collaborative and respectful behavior.
• Contribute to a positive work environment.
• Use resources efficiently.

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree