NKC Health · 10 hours ago
Managed Care Analyst
Kansas City, MO
Full-time
Onsite
Entry, Mid Level
2+ years expNKC Health is seeking a Managed Care Analyst to support the financial health of the organization through enterprise managed care activities. The role involves managing contracts, conducting financial analysis, and collaborating with various departments to inform decision-making in managed care operations.
Non ProfitHealthcareHospitalHealth CareMedical
Responsibilities
Responsible for loading, modeling, support and maintenance of the managed care contracts and fee schedules within the contract management system, including both Hospital and Professional agreements
Participates in contract modeling and other financial analysis using significant amounts of data that must be interpreted to inform decision-making by the managed care contracting and operations teams
Requires a deep understanding of healthcare reimbursement for hospitals and medical groups, contract negotiation concepts, financial analysis, and functionality of contract management databases
Works closely with Managed Care, Patient Financial Services, Revenue Integrity, Business Intelligence, and Meritas Business Office
Qualification
Required
Minimum 2 years of experience in a Health System or Managed Care Organization (MCO), with demonstrated experience in healthcare analytics
Demonstrated experience in problem-solving and project management
Highly skilled in data collection, data analysis (Power BI), advanced Excel knowledge (including pivot functionality and advanced formulas), and relational databases
Excellent organization and attention to detail are required
Ability to communicate complex information to various audiences
Able to work in a fast-paced environment
Problem solve issues where analysis is required; decisions and actions have a direct impact on hospital financials
Works independently, and as part of a team
Multitask and prioritize multiple tasks to meet deadlines
Takes ownership of job, and proactively responds to commitments
Takes specific actions to improve own work methods or systems
Develops and implements new and unique ideas
Bachelors - Business, Bachelors - Finance, Bachelors - Accounting, Bachelors - Health Care Management
Preferred
Experience with contract management and modeling software, managed care principals, hospital and professional coding, reimbursement, and financial terms such as DRG, CPT, HCPCS, ICD-10, APC, ASC groupers, chargemaster, revenue codes and payor policies
Experience with Cerner Patient Accounting
Knowledge of hospital and physician reimbursement methodologies (i.e. DRG, per diem, fee schedule, APC)
Working knowledge of billing/coding terminology (i.e. ICD-10, CPT, Revenue codes)
CCS (Certified Coding Specialist)
Company
NKC Health
North Kansas City Hospital and Meritas Health are now NKC Health.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steven K Starr
Interim CMO
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