Managed Care Analyst

Managed Care Analyst Job ID:

25536 Tampa, Florida Remote Direct Hire Non-Clinical Healthcare $60000 - $99000

Job Details Job ID:

 25536

Salary:

 $60,000 - $99,000

Per Year Location:

Remote, Based in

Eastern Time Zone Employment Type:

 

Direct Hire Scle:

 Full Time Our client is a dedicated healthcareanizationmitted to excellence in patient care and operational efficiency. Their team specializes in navigating theplex world of revenue cycle management to ensure accurate and timely reimbursements. Valuing skilled professionals who thrive in a collaborative, fast-paced environment and who our passion for improving healthcare operations. As the Managed Care Analyst, you will support revenue cycle and reimbursement optimization initiatives through advanced contract analysis, reimbursement modeling, denial reporting, and payer performance analytics. This role is responsible for analyzing managed care contracts, identifying payment variances and underpayment trends, and developing data-driven insights that improve hospital reimbursement oues. You will partner closely with finance, revenue cycle, and operational leadership to evaluate payer performance, support denial recovery efforts, and provide strategic rmendations that enhance revenue integrity and financial performance. The ideal candidate is a highly analytical self-starter with strong healthcare reimbursement knowledge, advanced Excel skills, and the ability to translateplex data into actionable business insights. Essential Duties and Responsibilities Analyze managed care contracts to interpret reimbursement methodologies, payment terms, and contract performance Build and maintain Excel-based reimbursement models to evaluate financial impact and payment scenarios Identify underpayments, denial trends, reimbursement discrepancies, and revenue improvement opportunities through claims analysis Develop dashboards and reports to track payer performance, denial rates, payment accuracy, and contract profitability Conduct root-cause analysis on denials and payment variances to support appeals, recovery efforts, and operational improvements Monitor payerpliance with contract terms and escalate systematic payment or policy issues as needed Reconcile claims, contract terms, and remittance data to ensure reporting accuracy and data integrity Provide ad hoc financial and operational analyses to support revenue cycle and reimbursement strategy decisions Document analytical processes, reporting methodologies, and standard operating prores for scalability and consistency Present data-driven findings and rmendations to finance, revenue cycle, and senior leadership teams Collaborate cross-functionally with hospital stakeholders, external consultants, payers, and vendors to support reimbursement optimization initiatives Support contract negotiations and renegotiations through reimbursement analysis, financial modeling, and benchmarking insights Other duties as assigned Qualifications Minimum of 5 years of experience in hospital revenue cycle, managed care, payer operations, healthcare consulting, or healthcare financial analysis Strong understanding of hospital reimbursement methodologies, managed care contracts, claims processing, denials, and appeals workflows Advanced Excel skills, including financial modeling, pivot tables, lookup functions, and large dataset analysis Experience analyzing reimbursement variances, denial trends, underpayments, and payer performance data Proven ability to build and maintain reimbursement or contract analysis models Strong analytical, problem-solving, and critical thinking skills with exceptional attention to detail Ability to work independently, manage multiple priorities, and deliver accurate results with minimal supervision Excellentmunication skills with the ability to presentplex financial findings to non-technical stakeholders Experience with healthcare billing systems such as Epic, Meditech, or Paragon preferred SQL, Tableau, Power BI, Qlik, or other data analytics tool experience preferred Bachelor's degree in Finance, Healthcare Administration, Business, Economics, or related field preferred Experience supporting managed care contract negotiations or denial recovery initiatives preferred Parker Staffing offers all levels of Administrative, Customer Service, Call Center, Sales, and Human Resources job opportunities in the Seattle and Bellevue metro area and other large cities throughout the Nation. Parker Staffing has served as the staffing agency of choice for thousands for over four decades. Visit our employment opportunities page at .parkerstaffing to review our full offering of temp, temp-to-hire, and direct hire job openings! Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles. As part of our employment process, candidates who received a conditional offer may be required to undergo pre-employment drug testing. Parker Staffing is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.