[Remote] Senior Managed Care Contracts Analyst

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. St. Jude Children's Research Hospital is seeking a Senior Managed Care Contracts Analyst to support their mission by leading the evaluation, analysis, negotiation, and monitoring of contract rates and terms. The role involves managing high-impact contracts, contributing to Managed Care contracting initiatives, and strengthening provider relationships. Responsibilities • Contribute to the creation of complex financial models; perform scenario analyses of payor reimbursement using patient data and contract terms • Lead analysis of all current and future payor contract terms • Perform validation and organize patient information for contract models • Monitor and analyze variances between negotiated contract payment terms and contract performance; ensure actual reimbursement is consistent with expected payment calculations • Develop summary presentations, report findings of collection issues and provide alternative recommendations to senior leadership for future contract terms or methodologies • Monitor financial performance, and gathering information to recommend changes to managed healthcare programs • Train and mentor team members to meet the comprehensive fiscal objectives at St. Jude while complying with policies and procedures • Perform other duties as assigned to meet the goals and objectives of the department and institution • Maintains regular and predictable attendance Skills • Bachelor's degree (e.g., Business Administration, Information Services) or any health related field of study required • Minimum Requirement: 4+ years of experience; proven experience with managed care contracting required • Strong experience with the financial aspects of various payment mechanisms within managed care • Experience working with cross-functional teams • Proven performance in earlier role Company Overview • St. It was founded in 1962, and is headquartered in Memphis, Tennessee, USA, with a workforce of 5001-10000 employees. Its website isApply Now

Apply Now
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Harrisburg,PA:Delta Airlines Flight Attendant Needed(Full-time)

Remote

DevOps Engineer/Release Management Engineer

Remote

Remote React Native Developer Job for Startup (Full-time)

Remote

**Experienced Customer Chat Specialist – Deliver Exceptional Online Support Experience at arenaflex**

Remote

Associate Director, Clinical Logistics and Materials Management

Remote

Experienced Data Entry Clerk – Entry-Level Position with careerzynith

Remote

[Remote] Customer Service Representative

Remote

Experienced HEDIS Reviewer II - Remote Healthcare Quality Assurance Specialist for HEDIS and CMS Performance Measures

Remote

Experienced Customer Support Specialist – Remote Part-time Role at careerzynith

Remote

Restaurant Associate – Amazon Store

Remote
← Back