Senior Analyst Managed Care

SUMMARY

Under the strategic direction of the VP Managed Care the Senior Analyst serves as the core analytical and execution engine for payor contracting. This role owns endtoend 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Negotiation Support Modeling & Storytelling
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.

Cross-Functional & Financial Operations
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.

Data Reconciliation & Analytical Integrity
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.

Payor Contracting & Execution Support
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.

Fee Schedule & Contract Data Management
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.

General Responsibilities
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.

QUALIFICATIONS

Required
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.

Preferred
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.

EDUCATION AND/OR EXPERIENCE

• Bachelors degree in Business Finance Healthcare Administration or related field (or equivalent experience).
• 58 years of experience in managed care contracting financial analysis reimbursement or related roles.
• Advanced degree (MBA MHA MSPH) a plus but not required.

SYSTEMS AND TECHNOLOGY

• Advanced proficiency in Microsoft Excel.
• Proficiency in PowerPoint Word Outlook.
• Experience with data platforms (e.g. Snowflake) EMRs payor portals or claims systems strongly preferred.

LOCATION

• This position is remote. Eligible candidates must reside in one of the following states to be considered: Alabama Arizona Florida Georgia Illinois Indiana Kansas Kentucky Michigan Minnesota Missouri New Jersey N. Carolina Ohio Oklahoma Pennsylvania Texas and Virginia.

PHYSICAL REQUIREMENTS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job the employee is frequently required to stand walk sit reach with arms and hands talk and hear. Specific vision abilities required for this job include close vision distance vision and ability to adjust focus.

If you need assistance with this application please contact . Please do not contact the office directly only resumes submitted through this website will be considered.

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race color religion sex sexual orientation gender identity national origin veteran or disability status.