Sonic Healthcare USA

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Managed Care Analyst

Managed Care Analyst

Job Location 
US-TX-Austin
Posted Date 
8/22/2017
Type 
Regular Full-Time
Shift 
First shift

More information about this job

Overview

The Analyst, Managed Care position is responsible for supporting the development of sophisticated financial data models to inform decision making for all managed care contracting activity. This position supports all other analytics needs for the Managed Care department and provides analytical support utilizing Managed Care and other data to other areas of the company.  This position reports directly to the Vice President of Managed Care.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Supports the Manager to design and automate data tools to inform all managed care decision making including but not limited to:
    • Contract analysis models
    • Out of Network financial evaluation tools including examination of high and low paying patients and paid claims compared to booked revenue
    • Expansive data tools examining large national health plan payors and other targeted health plan payors; includes impact of contracting, the impact of missed opportunities and financial impact our divisions
  • Provides analytical support to the VP of Managed Care
  • Supports the Vice President of Managed Care / Public Policy for health plan insurance enrollment initiatives
  • Supports market pull-through and other post contracting activities
  • Provides support to other areas of the company where Managed Care financial data expertise is required, including
    • Finance
    • Central Billing Office
    • Business Development
    • Operations / Presidents and CEO

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

  • Bachelor’s degree preferred; degree in finance, decision sciences, business or another analytical disciplines strongly preferred
  • Two plus (2+) years of experience with a health plan or provider data modeling and decision support strongly preferred; other relevant experience will be considered; previous dialysis experience a strong plus
  • Proficient with all Microsoft Office products, including Outlook and Word
  • Advanced analytical skills required; Excel (VBA experience preferred), Access, SQL preferred; Microsoft Dynamics, Cognos and Tableau experience a plus
  • Knowledge of Mysis
  • Certified Professional Coder - CPC Preferred