Note: The job is a remote job and is open to candidates in USA. MedStar Health is a healthcare organization dedicated to providing quality care while advancing medicine through education, innovation, and research. The Managed Care Analytics Director leads analytics supporting managed care contract negotiations and system initiatives, including financial modeling, reimbursement forecasting, contract performance monitoring, and market analysis. The role partners with clinical, financial, administrative, billing, provider, and payer stakeholders to improve reimbursement and resolve operational issues.
Responsibilities
- The Managed Care Analytics Director oversees the analytics that support MedStar Health's Managed Care Operations contract negotiations and system initiatives
- This leadership role directs financial modeling, reimbursement forecasting, contract performance monitoring, and market analyses that inform payer negotiations and organizational decision-making
- As a key member of interdisciplinary teams, you'll partner with physicians, finance, and administrative leaders on managed care contract carve-outs, recommend process improvements to maximize reimbursement, develop business rules, prepare financial and regulatory reports, and collaborate with billing teams, providers, and payers to resolve reimbursement and operational issues
Skills
- • Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field
- • Knowledge of healthcare delivery settings, clinical data management, and health care insurance
- • 5-7 years Healthcare analytics, database management, and information management. Managed care payor or multi-hospital health system reimbursement experience
- • Master's degree MBA, MHS or other graduate degree with a health care or information systems concentration preferred
Benefits
- Supportive and inclusive work environment
- Comprehensive health and wellness benefits
- Generous PTO
- Tuition assistance
- Retirement plans
- Continuing education
- Professional development
- Personal fulfillment
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