Managed Care Performance Analyst, Full Time, First Shift
Cincinnati, OHFull-timeSeen 1 day agoSeen in employer's feed 1 day ago
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Job overview
The Managed Care Performance Analyst evaluates financial, operational, and contractual performance across UC Health commercial and government payer agreements. The analyst interprets reimbursement terms, models rate changes, validates payments, and analyzes underpayments, denials, utilization, and net revenue trends. The role monitors payer compliance, supports issue resolution, and develops analyses for negotiations and operational improvement while collaborating with internal teams and payer representatives.
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Skills
Full job description
Under minimal supervision, the Managed Care Performance Analyst evaluates financial, operational, and contractual performance across UC Health commercial and government payer agreements. The analyst interprets reimbursement terms, models contracted rate changes, validates expected versus actual payments, and analyzes underpayments, denials, utilization, and net revenue trends to identify financial exposure and recovery opportunities. This role monitors payer compliance with contract requirements, supports issue escalation and resolution, and develops defensible analyses for negotiations, amendments, and operational improvement. The analyst collaborates with Managed Care, Finance, Revenue Cycle, Contracting, Clinical Operations, and payer representatives to deliver actionable performance reporting and recommendations to leadership.
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