Managed Care Analyst jobs in United States
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Mosaic ยท 4 days ago

Managed Care Analyst

Mosaic Life Care is a health care system in northwest Missouri focused on transforming community health. The Managed Care Analyst will evaluate and negotiate agreements, analyze net revenue, and monitor contract performance to ensure the organization meets its financial goals.

Health CareMedicalNursing and Residential Care
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Growth Opportunities

Responsibilities

Evaluates reimbursement methodologies, language and payor policy to determine financial impact to the organization under the direction of management
Participate in contract discussions regarding language and reimbursement to meet the overall needs of the organization
Develop reliable financial models to estimate reimbursement and policy changes on the finances of the organization
Understand and analyze the key drivers for denial management under the direction of management
Develop relationships with key health plans. Participate in discussions re: contracting needs, contract interpretation, claims/denials issues and how to improve the overall relationship

Qualification

Financial analysisContract negotiationMicrosoft ExcelHealthcare experienceMicrosoft WordMicrosoft AccessWindowsCommunication skills

Required

BS degree in accounting, finance, or related field, from an accredited college or university or equivalent work experience
Three years healthcare or related experience in financial analysis

Preferred

Prior experience and knowledge in negotiating contractual and financial terms for managed care agreements
Prior experience and knowledge in the use of software packages such as Microsoft Excel, Word, Access, and Windows

Benefits

Concierge services
Employee lounge
Wellness programs
Free covered parking
Free on-site and virtual health clinics

Company

Mosaic

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Mosaic is a whole-person healthcare organization reaching across 12 states providing support to nearly 5,000 people.

Funding

Current Stage
Late Stage

Leadership Team

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Linda Timmons
President and Chief Executive Officer
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Scott Hoffman
Chief Financial Officer & Senior Vice President
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Company data provided by crunchbase