Sr. Managed Care Analyst

Sr. Managed Care Analyst Community Health System - 3.7 Fresno, CA Job Details Full-time $43.72 - $56.84 an hour 10 hours ago Benefits Free parking 403(b) matching Tuition reimbursement Leadership training provided

Qualifications Contracts Full Job Description Overview:

Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Eligible for annual incentive program Community University leadership training courses Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities:

The Senior Managed Care Analyst is responsible for the development and execution of data driven strategies and is accountable for the successful achievement of decision support objectives in the areas of contract modeling, financial/service line/volume analysis, data, and system integrity. Produce timely and accurate analysis based on clinical and financial knowledge in healthcare to maximize reimbursement and achieve strategic advantages in contract negotiations. Develop and maintain contract modeling in applicable software including building service type definitions, rate schedules, stop-loss, and other contract negotiated rates. Coordinate mapping of benefit plans. Provide education to analysts and other CHS stakeholders in contract language and identify issues for operational changes within processes to improve the management of resources and to make sound financial decisions. Participate in project teams and special assignments to support decision making processes throughout the organization.

Qualifications:

Education High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Bachelor's Degree in Business or Healthcare Administration required 10 years of experience in contract modeling, contract analysis, healthcare billing process, and 2 years of experience in the healthcare insurance industry may be substituted for Bachelor's Degree and experience requirements Experience 3 years of experience in contract modeling or healthcare analytics required 5 years of experience in contract analysis required Licenses and Certifications EPIC - Epic Certification preferred

Disclaimers:

Pay ranges listed are an estimate and subject to change. If any bonuses are noted, they are only applicable to external hires meeting criteria.