Managed Care Analyst (Payer Relations)

				Overview:

We have a Managed Care Financial Analyst Career opportunity for an experienced professional to join our team at Pediatrix Medical Group. We are a national organization, and one of the nation's largest providers of prenatal, neonatal and pediatric services. 

Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. 

Responsibilities:

This high-impact role will be responsible for a variety of Managed Care data analytical functions, including complex models, analytics, forecasts, budgets risk assessments, and executive reporting. The incumbent is expected to contribute as a thought leader to influence the Managed Care team, as part of a fast paced and high growth environment.

* Drive value across the Managed Care team by building complex reimbursement models, analyses, and reports.
* Analyze historical rates to identify issues and opportunities; research and resolve reimbursement inquiries.
* Retrieve and compile claims data to appropriately report on reimbursement and contracting trends.
* Contribute to the Managed Care budget process, including coordination of resources, ensuring data integrity, and developing budget reports for presentation to the Managed Care team.
* Continuous improvement of Managed Care modeling, reporting, and budgeting processes.
* Support strategic planning initiatives and communicate the impact of financial and strategic analyses to Managed Care leadership.
* Leverage advanced Excel skills to manage and analyze large data sets while handling multiple projects across the Managed Care team.

Qualifications:

Education/Experience:

* Undergraduate degree in business, engineering, or other analytical field; advanced degree preferred but not required
* 4-7 years of related experience; healthcare experience strongly preferred. 

Knowledge/Skills:

* Complex project management skills
* Strong customer service focus

Software:

* Advanced MS Excel skills
* Familiarity with multiple software packages/Business Intelligence software, specifically Microsoft and Microsoft SQL Server Management Studio
			

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