Managed Care Analyst AdventHealth Corporate
Location Address: 2600 Lucien Way Maitland, FL 32751
Top Reasons To Work At AdventHealth Corporate
- Full-Time, Monday - Friday
You Will Be Responsible For:
Supports Managed Care leadership in financial modeling.
Basic knowledge of contractual language as it relates to reimbursement methodologies
Applies basic understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes
Demonstrates knowledge of various reimbursement methodologies including, Per Diem, DRG, fee schedules, and percent of charge
Demonstrates knowledge of commercial payers for modeling and analyzing contract proposals
Performs analytical and planning functions in support of Managed Care decision making
Participates in the annual Managed Care revenue budget process
Utilizes a variety of software applications and data sources to produce the Managed Care Suite, DAA reports, other standard reporting, and adhoc reports
Evaluates actual contract performance against expected; analyzes data to distinguish patterns and recognize trends in contract performance
What You Will Need
Associates Degree in Business, Accounting, Finance, Information Systems, or related.
1-3 years of experience in managed care, patient billing services, health insurance claims processing, contract management, finance, or accounting
Bachelor’s degree in Business, Accounting, Finance, Information Systems, or related. 3 years’ experience in managed care finance, preferred
The Managed Care Analyst applies technical, analytical, and problem-solving skills to provide solutions/improvements within the department. Responsible for completing financial and/or operational analysis of contracts, developing and tracking key performance indicators, financial modelling comparative analysis and bench marking. This person demonstrates competences in decision support and reporting through converting raw data into useful and actionable information. This person is responsible for compiling and analyzing data as well as for creating meaningful applications to support executive decision making. Character traits include: strong work ethic, trainability, communicative, team player all with a positive “can do” attitude. Intermediate Excel skills required.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category: Managed Care
Organization: AdventHealth Corporate
Shift: 1 - Day
Req ID: 21036787
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.