Remote Managed Care Analyst

Job Summary

Remote Managed Care Analyst is a full-time, contract position requiring expertise in hospital managed care contracts and reimbursement analysis, focusing on financial impact modeling and data validation, with work hours aligned to EST.

Key Responsibilities

• Analyze hospital managed care contracts and create financial impact models
• Build and maintain Excel models for contract analysis and reimbursement validation
• Support audit recovery and compliance reviews while creating client-facing reports on reimbursement trends

Required Qualifications

• Strong experience with hospital managed care contracts and reimbursement analysis
• Advanced Excel skills, including proficiency with formulas and large datasets
• Experience interpreting commercial payer contract terms and reimbursement methodologies
• Ability to identify underpayments, denial trends, and revenue leakage
• Prior experience in healthcare finance or consulting is preferred