[Hiring] Sr. Managed Care Contract Analyst @Emerus

Role Description This role collaborates closely with the Vice President of Managed Care to support the company and its joint venture hospital partners. Key responsibilities include: • Managing contract databases • Interpreting critical contract terms • Developing and automating payer contract models • Validating data • Conducting financial analysis • Ensuring federal price transparency compliance • Contributing to annual budgeting and month-end close processes • Providing support to Revenue Cycle and Revenue Recognition teams on payer-related issues and contract disputes • Assisting other departments as needed The ideal candidate is a proactive self-starter who thrives in a dynamic, fast-paced environment. They possess strong analytical and modeling skills, excellent communication and listening abilities, and a keen intellectual curiosity to identify opportunities for improving departmental efficiency and enhancing company revenue. Qualifications • Bachelor’s degree in Finance, Accounting, Business Administration, or equivalent experience required • Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes • Proven ability to build financial and statistical models, analyze data, and drive actionable results • Excellent organizational, written, and verbal communication skills • Advanced Microsoft Excel modeling skills (required); proficiency in Word, PowerPoint, and Outlook (essential) • Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL • Intermediate knowledge of data preparation and visualization techniques using PowerBI • Strong analytical and problem-solving capabilities • Comfortable working in a fast-paced environment with minimal supervision • Ability to meet deadlines while managing multiple projects and delivering high-quality work • Detail-oriented with a strategic, big-picture mindset Requirements • Serve as the managed care liaison and subject matter expert for joint venture hospital partners, revenue cycle billing and collections teams, and finance department leaders • Compile and analyze payer performance metrics for reporting to organizational leadership • Maintain up-to-date managed care contract databases to streamline collections, support analysis, and share contract terms efficiently • Assist the revenue cycle team by loading and maintaining current payer rates in an insured allowed/payment validation module • Perform random audits of claim payments to ensure payer compliance with managed care agreements • Support special projects, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities • Build contract models to assess current performance yields and evaluate new contract proposals • Collaborate with the revenue cycle team to identify underpaid/overpaid claims and develop initiatives to secure accurate payments • Provide managed care insights and contract modeling (e.g., rate escalators, charge master updates, new contract yields) to support the finance team’s annual budget process • Assist the revenue recognition team during month-end close by offering managed care perspectives on key revenue-influencing items • Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files • Represent managed care in joint venture board meetings or monthly operational reviews as required • Conduct financial data analysis and respond to internal/external inquiries from management Benefits • Provide clear explanations and actionable recommendations on managed care topics • Contribute to cross-functional projects with Finance, Operations, Revenue Cycle, and Business Development, delivering ad-hoc analysis as needed • Attend required staff meetings, company-sponsored events, or mandated gatherings • Take ownership of personal professional development • Perform additional duties as assignedApply Now

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