Managed Care Analyst at AdventHealth

Date Posted: 11/25/2021

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Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Maitland, FL
  • Date Posted:
    11/25/2021
  • Job ID:
    21036787
  • Job Family
    Managed Care
  • Shift
    1 - Day

Job Description


Description

Managed Care Analyst AdventHealth Corporate

Location Address: 2600 Lucien Way Maitland, FL 32751

Top Reasons To Work At AdventHealth Corporate

  • Great benefits
  • Immediate Health Insurance Coverage
  • Career growth and advancement potential

Work Hours/Shift:

  • 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
Qualifications

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

Job Summary:

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.

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