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Managed Care Analyst (Payer Relations)
full-timeUnited States

Summary

Location

United States

Type

full-time

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About this role

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

Benefits and Compensation

Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU.  

 

We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.  

About Us

 

Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. 

 

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

#LI-Remote

Pediatrix is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Other facts

Tech stack
Managed Care,Data Analysis,Reimbursement Models,Forecasting,Budgeting,Risk Assessment,Executive Reporting,Project Management,Customer Service,Excel,Business Intelligence,SQL Server Management Studio

About Pediatrix

Pediatrix® Medical Group, Inc. (NYSE:MD) is a leading provider of physician services. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. Specialties include obstetrics, maternal-fetal medicine and neonatology. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. The physician-led company was founded in 1979 as a single neonatology practice and today provides its highly specialized and often critical care services through approximately 4,400 affiliated physicians and other clinicians.

We partner with hospitals, health systems and health care facilities to achieve better patient outcomes while reducing costs. Together with our partners, we:

• Develop intuitive, customized solutions that optimize clinical, financial and operational performance
• Improve patient care and the total patient experience
• Leverage advanced clinical tools, quality initiatives, research, robust data, technology and training to enhance care quality and performance

Team size: 5,001-10,000 employees
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1979

What you'll do

  • The Managed Care Analyst will be responsible for various data analytical functions, including building reimbursement models and analyzing historical rates. The role also involves contributing to the Managed Care budget process and supporting strategic planning initiatives.

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Frequently Asked Questions

What does a Managed Care Analyst (Payer Relations) do at Pediatrix?

As a Managed Care Analyst (Payer Relations) at Pediatrix, you will: the Managed Care Analyst will be responsible for various data analytical functions, including building reimbursement models and analyzing historical rates. The role also involves contributing to the Managed Care budget process and supporting strategic planning initiatives..

Why join Pediatrix as a Managed Care Analyst (Payer Relations)?

Pediatrix is a leading Hospitals and Health Care company.

Is the Managed Care Analyst (Payer Relations) position at Pediatrix remote?

The Managed Care Analyst (Payer Relations) position at Pediatrix is based in United States, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Managed Care Analyst (Payer Relations) position at Pediatrix?

You can apply for the Managed Care Analyst (Payer Relations) position at Pediatrix directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Pediatrix on their website.