Note: The job is a remote job and is open to candidates in USA. Highmark Health is a leading health care organization, and they are seeking an Associate Managed Care Analyst. The role involves building and maintaining contracts in Epic, managing underpayment accounts, and collaborating with various teams to support reimbursement analysis.
Responsibilities
- Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
- Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
- Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
- Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
- Perform other duties as assigned or required
Skills
- Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Experience in finance, contracting, or data analysis
- Microsoft Office (Excel, PowerPoint, etc.)
- Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
- Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance
- Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
- Strong oral and written communication skills
- Ability to independently make progress on key projects with support from supervisor or peer analysts
- Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Epic Expected Reimbursement Contracts Certification
- Experience with hospital, physician, and ASC contracts
- Experience in healthcare
- R, Python, or other statistical/programming tools
- Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
- Clinical background or general understanding of hospital/physician practice operations
Benefits
- Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
- The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
- Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
- We endeavor to make this site accessible to any and all users.
- If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
- For accommodation requests, please contact HR Services Online at [email protected]
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