Johns Hopkins Medicine
Managed Care Analyst (Remote) (627546)
PayCompetitive
LocationSaint Petersburg/Florida
Employment typeFull-Time
This job is now closed
Job Description
- Req#: 627546
Industry: Pediatric Healthcare Facility
Why consider this job opportunity:
- Competitive pay and benefits package, including affordable healthcare, paid time off, and life and disability insurance
- Tuition assistance available for career development
- Employee discount program for travel, tickets, dining, and more
- Opportunities for advancement within the organization
What to Expect (Job Responsibilities):
- Responsible for loading, modeling, supporting, and maintaining managed care contracts and fee schedules within the contract management system
- Assists in resolving payment discrepancies and ensures accurate contract terms for patient care and billing integrity
- Conducts prospective modeling of proposed contracts and scenarios to support operations and negotiations
- Generates standard reports and surveys to monitor market trends
- Analyzes and determines financial impact of fee schedule changes to support managed care contract negotiations
What is Required (Qualifications):
- Bachelor's degree in Business, Accounting, Finance, Health Care Management, or related field
- Certification in EPIC application modules for hospital and professional billing reimbursement contracts
- 3 years of experience in decision support or financial analysis in a managed care healthcare provider environment
- Proficiency in computer skills, including spreadsheet, presentation, database, and report writer software
- Knowledge of managed health care contracts and experience with contract modeling and management systems
- Strong financial analysis and project management skills
How to Stand Out (Preferred Qualifications):
- Advanced degree in a related field
- Additional certifications in healthcare management or financial analysis
- Experience in risk-based contracting methodologies and global transplant agreements
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Together, we will deliver the promise of medicine. The mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting the standard of excellence in medical education, research and clinical care.