Sarasota Memorial Health Care System ยท 10 hours ago
Managed Care Data Analyst
Sarasota, FL
Full-time
Onsite
Mid LevelSarasota Memorial Health Care System is a leading acute care hospital located in Sarasota, Florida. They are seeking a Managed Care Data Analyst to oversee the balancing, reconciling, and resolution of errors for patient accounts receivable, while providing training and support to the Managed Care team and ensuring data integrity for contract modeling software.
Health CareHospital
Responsibilities
Oversee the balancing, reconciling, and resolution of errors for the daily 835 and 837 files, charges, payments, adjustments and contractuals to the patient accounts receivable system
Provide training, guidance, and support with the use of the managed care contracting system by Patient Financial Services (PFS) and other Revenue Cycle team members through education and daily communication
Oversee the Master Tables as assigned and collaborate with the Managed Care team to implement process improvements
Provide guidance and support for other system maintenance functions as required for data integrity of the contract modeling software
Develop reports/report views and explain and interpret data as requested and maintain report libraries
Collaborate with Managed Care Analyst Sr in modeling proposed contracts and loading finalized contracts
Oversee all contract naming conventions, organization of payor models, organization of scanned and paper contracts, rate schedules, payor correspondence, and the managed care smh.com website
Perform other duties as assigned in support of the Managed Care Department
Qualification
Required
Require a bachelor's degree in a relevant field of study
Require experience in at least two (2) of the following: Microsoft Excel data analysis, Microsoft PowerPivot / SSAS, Power BI, SQL Server (coding or database maintenance), SSRS, RStudio, Python, PowerShell, or other similar analytics toolset or programming language
Preferred
Prefer experience in a managed care setting
Prefer knowledge of health insurance plans and managed care contracts
Prefer proficient excel user with experience using complex formulas and pivot tables
Prefer previous experience in generating a variety of reports
Prefer coding certificate (i.e. CPC) or CPAT/CRCS
Prefer demonstrated knowledge of hospital billing, including hospital charges, CPT, DRG, APC, APRDRG, revenue codes, and ASC Groupers
Prefer demonstrated knowledge of contract modeling software, contract terms, and contract modeling
Prefer demonstrated ability to relate to a wide variety of people using excellent written and verbal communication skills
Prefer demonstrated organizational, analytical, leadership and judgment skills
Prefer demonstrated proficiency with Windows-based office applications including Excel, Word, PowerPoint, Access, and Outlook
Prefer knowledge and experience with hospital and physician billing, payer claims adjudication and analyzing payment patterns
Benefits
Paid Time Off (start earning PTO on day one of employment)
Tuition Reimbursement
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
Life Insurance
Competitie rates
Bonuses offered
Disability Insurance
Retirement Savings Plan: 403b
Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
Bereavement Leave
Free Parking
On Campus Dining w/ a 10% discount
Credit Union w/ teller machines on campus
Direct Deposit
Free Wellness Screening
Free confidential counseling services
Employee Discount Programs
Recognition Programs
Referral Programs
Tremendous growth opportunities for hard workers!
Company
Sarasota Memorial Health Care System
Sarasota Memorial Health Care System, an 839-bed regional medical center, is among the largest public health systems in Florida.
Founded in 1925
5001-10000 employees
H1B Sponsorship
Sarasota Memorial Health Care System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (7)
2023 (3)
2022 (3)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
D
David Verinder
CEO
Recent News
2025-10-03
Tampa Bay Business Journal
2025-01-21
Modern Healthcare
2025-01-14
Company data provided by crunchbase