Senior Managed Care Analyst
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At a glance
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Job overview
Insight Global is hiring a Senior Managed Care Analyst. This role supports the Managed Care team by analyzing payer contracts, tracking performance metrics, and partnering with revenue cycle teams. The analyst will work to improve reimbursement outcomes and ensure compliance with payer agreements.
Successful candidates bring Bachelor's In Accounting/Finance, Master's Degree, and 5+ Years Payer Contracting. Important skills include Payer Contracts, Billing, Reimbursement, Medicare Rate Calculations, Commercial Rate Calculations, and DRGs.
Skills & qualifications
Skills
Qualifications
Full job description
Job Description
This role supports the Managed Care team by analyzing payer contracts, tracking performance metrics, and partnering with revenue cycle teams to improve reimbursement outcomes and ensure compliance with payer agreements.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Skills and Requirements
- Bachelor’s degree in Accounting or Finance
• 5+ years of payer contracting or revenue cycle experience
• Strong understanding of payer contracts, billing, and reimbursement
• Experience with Medicare / commercial rate calculations (DRGs, APCs, etc.)
• Knowledge of denials, prior authorizations, and billing workflows
• Strong analytical and Excel skills
• Familiarity with medical terminology, coding, and healthcare reimbursement
• Ability to work in a fast-paced, detail-driven environment • Master’s degree
• Epic experience
• Experience with contract modeling and payer performance tracking
• Knowledge of pricing transparency tools
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