Associate Managed Care Analyst

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🕒 2 days ago

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Highmark Health

10,000+ employees

Founded 1852

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

💰 $5M Grant on 2021-05

Healthcare Insurance • Non-profit • Social Impact

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. • Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. • Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. • Provides assistance in performing analyses to support reimbursement impact analysis. • Perform other duties as assigned or required.

🎯 Requirements

• Minimum 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 • Preferred 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

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