Managed Care Analyst - Capitation Revenue

About the Role:

• The Managed Care Analyst advances MemorialCare's Managed Care Contracting and Operational strategies through financial analysis, contract modeling, and advisory support.
• This system-level role reports to the Manager of Managed Care Analytics and supports all MHS entities including hospitals, foundation, IPA, and health plan.

Responsibilities:

• Assemble and analyze financial data from sources such as Snowflake, payor capitation data, cost accounting, GL, budgeting, and patient billing.
• Evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.
• Develop reporting templates to measure health plan trend and yield, and support monthly financial close by identifying trends and outliers.

Qualifications:

• Minimum 2 years of experience, preferably in a managed care analytic setting, with proficiency in SQL, Epic, and advanced Excel.
• Strong organizational skills and the ability to handle fluctuating volumes of work, prioritize, and meet deadlines.
• Bachelor's degree in Business, Finance, or Healthcare is required.

Compensation & Benefits:

• Pay range of $41.09/hr - $51.56/hr with potential for shift differentials, extra shift incentives, and bonus opportunities.
• High-quality health insurance plan options for employees and their dependents.