Apply on Employer Site

Pediatrix Medical Group · 1 month ago

Managed Care Analyst (Payer Relations)

United States

Full-time

Remote

Mid, Senior Level

4+ years exp

Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. The Managed Care Analyst will be responsible for various data analytical functions related to Managed Care, including building reimbursement models, analyzing trends, and supporting budgeting processes.

Health CareHospitalMedical

Responsibilities

Drive value across the Managed Care team by building complex reimbursement models, analyses, and reports

Analyze historical rates to identify issues and opportunities; research and resolve reimbursement inquiries

Retrieve and compile claims data to appropriately report on reimbursement and contracting trends

Contribute to the Managed Care budget process, including coordination of resources, ensuring data integrity, and developing budget reports for presentation to the Managed Care team

Continuous improvement of Managed Care modeling, reporting, and budgeting processes

Support strategic planning initiatives and communicate the impact of financial and strategic analyses to Managed Care leadership

Leverage advanced Excel skills to manage and analyze large data sets while handling multiple projects across the Managed Care team