Associate Managed Care Analyst

Associate Managed Care Analyst at Highmark Health in Boise, Idaho, United States Job Description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW

This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error to the payor.

ESSENTIAL RESPONSIBILITIES

+ Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%) + Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%) + Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%) + Provides assistance in performing analyses to support reimbursement impact analysis. (10%) + Perform other duties as assigned or required.

QUALIFICATIONS

Minimum + Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field + Experience in finance, contracting, or data analysis + Microsoft Office (Excel, PowerPoint, etc.) + Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets + Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance + Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines + Strong oral and written communication skills + Ability to independently make progress on key projects with support from supervisor or peer analysts Preferred + Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field + Epic Expected Reimbursement Contracts Certification + Experience with hospital, physician, and ASC contracts + Experience in healthcare + R, Python, or other statistical/programming tools + Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies + Clinical background or general understanding of hospital/physician practice operations

Disclaimer:

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement _: This job adheres to the ethical an

Job Posting:

JC291251266

Posted On:

May 01, 2026

Updated On:

May 01, 2026