Managed Care Analyst at AdventHealth

Date Posted: 4/20/2021

Job Snapshot

  • Job Schedule
  • Location:
    Maitland, FL
  • Date Posted:
  • Job ID:
  • Job Family
    Managed Care
  • Travel
  • Shift
    1 - Day

Job Description


Managed Care Analyst AdventHealth Corporate

Location Address: 900 Hope Way Altamonte Springs, FL 32714

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.
  • Applies basic understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes
  • Performs analytical and planning functions in support of Managed Care decision making
  • Participates in the annual Managed Care revenue budget process
  • Supports Senior Managed Care Analyst in timely and efficiently completing financial analyses related to Managed Care net revenue.
  • Completes multiple projects in a fast-paced environment within timeframes outlined in the department policies and as specified by Leadership
  • Assures the application of appropriate standards of data analysis and that all analytics are quality checked
  • Develop an understanding of reimbursement methodologies and their impact on internal systems and other departments
  • Fully documents the process required to replicate any analytic process undertaken

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.
  • Healthcare information systems (PCON, Cerner, Soarian), preferred
  • Business Intelligence Software (Qlikview, Tableau, SAP, etc.), preferred
  • Data warehousing tools (SQL Server, etc.), preferred
  • Microsoft Visual Basic/Access, preferred
  • Financial Reporting and Analysis, 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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