drjobs Manager, Managed Care Analytics

Manager, Managed Care Analytics

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1 Vacancy
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Job Location drjobs

Fresno, CA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

*All positions are located in Fresno/Clovis CA*

Responsibilities

The Manager of Managed Care Analytics leads the development of actionable models and insights to support payer contract negotiations. This position is responsible for overseeing a team of analysts ensuring accurate analysis validation and loading of payer contracts into the Electronic Health Record (EHR) and contract modeling systems. The role serves as a key liaison to senior leadership providing critical reporting on payment rates denial trends and contract compliance.
This leader works in close collaboration with Finance Patient Financial Services and Managed Care to address payer-related issues evaluate service line performance and assess the reimbursement impact of new programs and services.

Qualifications

Education
Bachelors Degree in Accounting Finance Business Administration Health Administration Statistics or a related field required.
In lieu of a bachelors degree 15 or more years of progressive experience in Revenue Cycle may be considered
Masters Degree in Business Administration (MBA) or a related field preferred
Experience
7 years of progressive experience in healthcare analytics managed care contracting revenue cycle or related fields required
3 years in a supervisory or management role with demonstrated experience leading analyst teams and driving cross-functional collaboration required
Strong background in payer contract analysis reimbursement methodologies and healthcare data systems (e.g. EHRs contract modeling platforms BI tools) required
Experience working with both government and commercial payers preferred
Licenses and Certifications
EPIC - Epic Certification preferred
HFMA - Healthcare Financial Management Association Certification preferred

Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.


Required Experience:

Manager

Employment Type

Unclear

Company Industry

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