Supervisor - Managed Care Analysis

Baptist Health Care • Pensacola, FL

4d

About The Position

The Supervisor - Managed Care Analysis supports financial analysis, modeling, and implementation of managed care contracts within Epic. The role translates contract terms into accurate reimbursement models, evaluates contract performance, and supports payer negotiations through data-driven insights. It partners with Managed Care, Revenue Cycle, Finance, and Epic application teams to ensure contract accuracy, optimal reimbursement, and revenue integrity.

The position supervises team members, including their orientation, development, evaluation, training, and adherence to internal policies and standards. It develops and maintains financial models for proposed and existing managed care contracts; models complex reimbursement methodologies; analyzes contract financial impact; and performs expected-versus-actual reimbursement variance analysis.

The role translates executed contract language into Epic reimbursement contract builds, configures and maintains expected reimbursement and fee schedules, and performs testing and validation before production release. It also monitors contract performance to identify underpayments, supports audits, reconciliations, and payer disputes, and communicates complex reimbursement concepts to non-technical stakeholders.

Requirements

• Bachelor's degree in Business, Finance, Health Care Administration, or a related field, or four years of related experience in lieu of a degree.
• At least 3 years of experience in managed care contract modeling or healthcare financial analysis.
• Strong understanding of healthcare reimbursement methodologies.
• Advanced Excel skills.
• Demonstrated proficiency in reimbursement modules.
• Knowledge of healthcare revenue cycle operations and workflows.
• Excellent written and verbal communication skills.
• Ability to work collaboratively with diverse teams.
• Strong ability to analyze, interpret, and evaluate data.

Nice To Haves

• At least 1 year of experience in Epic reimbursement modules.
• At least 1 year of experience supporting payer negotiations and renewals.
• At least 1 year of experience in a multi-facility health system.
• At least 1 year of experience with Medicare, Medicaid, and commercial reimbursement.
• Epic certification(s) in relevant modules, preferred upon hire.

Responsibilities

• Supervises team members, including orientation, development, evaluation, training, coaching, and monitoring service quality and adherence to internal policies and standards.
• Participates in recruiting, interviewing, and selecting team members in accordance with policies, guidelines, and applicable laws.
• Develops and maintains financial models for proposed and existing managed care contracts.
• Models complex reimbursement methodologies, including DRG, APC, per diem, case rates, and fee schedules.
• Analyzes contract financial impact to support payer negotiations and leadership decision-making.
• Performs expected-versus-actual reimbursement variance analysis.
• Translates executed contract language into Epic reimbursement contract builds.
• Configures and maintains expected reimbursement and fee schedules in Epic.
• Performs Epic testing and validation before production release.
• Partners with Epic application teams to resolve reimbursement discrepancies.
• Monitors managed care contract performance and identifies underpayments.
• Supports audits, reconciliations, and payer disputes.
• Collaborates with Managed Care, Revenue Cycle, Finance, and Operational teams.
• Communicates complex reimbursement concepts to non-technical stakeholders.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager