Managed Care Analytics Director

Job Summary

To support the Managed Care Operations Department, the full-time Managed Care Analytics Director will oversee analytic functions related to reimbursement and financial analyses, develop reimbursement models, and monitor payer performance, all while working remotely.

Key responsibilities

• Develops reimbursement models and reports to support managed care contracting activities, utilizing various platforms for data analytics
• Monitors payer performance and conducts external market analyses to inform strategic decisions regarding program development and rate methodologies
• Serves as a primary contact for contract interpretation and reimbursement issues, coordinating financial reporting related to Managed Care Operations

Required qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field required
• 5-7 years of experience in healthcare analytics, database management, and managed care reimbursement
• Master's degree (MBA, MHS, or related) preferred
• Knowledge of healthcare delivery settings, clinical data management, and health care insurance required
• Advanced proficiency with Microsoft Office Suite, particularly Excel and Access