Note: The job is a remote job and is open to candidates in USA. LHH is recruiting for a leading public healthcare system focused on advancing health equity and delivering exceptional patient care. The Managed Care Reimbursement Analyst will analyze contracts, reimbursement data, and financial trends to optimize revenue, support negotiations, and inform strategic decision-making. The role also collaborates with finance, revenue cycle, and managed care teams to resolve reimbursement issues and prepare leadership reports.
Responsibilities
- Analyze managed care contracts and reimbursement agreements to maximize revenue opportunities
- Perform financial analysis, data compilation, and market research related to healthcare reimbursement
- Monitor contract performance and identify opportunities for revenue improvement
- Support negotiations and strategic initiatives through data-driven insights and reporting
- Utilize EPIC reimbursement data and reporting tools to assess payment trends and variances
- Collaborate with finance, revenue cycle, and managed care teams to resolve reimbursement issues
- Prepare reports, spreadsheets, and presentations to support leadership decision-making
Skills
- • Bachelor's Degree in Business Administration, Healthcare Administration, Finance, or a related field
- • 2+ years of experience in a hospital, healthcare system, or payor/managed care reimbursement environment
- • Hands-on experience with EPIC reimbursement systems
- • Strong understanding of healthcare insurance, managed care contracts, reimbursement methodologies, accounting, and auditing principles
- • Advanced analytical and strategic thinking skills with the ability to interpret complex financial data
- • Proficiency with Excel, spreadsheets, databases, and reporting tools
- • Excellent written and verbal communication skills
- • Ability to work independently, manage multiple priorities, and meet critical deadlines in a remote environment
Benefits
- Fully remote role in Texas
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Additional voluntary benefits
- EAP program
- Commuter benefits
- 401K plan
- Flexibility to choose the type of coverage that meets individual needs
- Paid Sick Leave, where required by law
- Any other paid leave required by Federal, State, or local law
- Holiday pay upon meeting eligibility criteria
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