Analyst, Managed Care

Ascension Health Austin, TX
Job ID: 250717Analyst, Managed CareAustin, TexasRegular / Day

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Additional Job Information

Title: Analyst, Managed Care

City, State: Austin, TX

Location: TXAUS 4515 Quarry Lake

Department: Managed Care Contracting 001

Additional Job Details: FT, Days

About Us

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world's largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension's Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension's own group purchasing organization.

Job Description

JOB SUMMARY

* Researches, analyzes, and reconciles managed care contracts and utilization patterns.

RESPONSIBILITIES

* Conducts financial modeling and analyses by utilizing a modeling system (or develops tools to model against) to support negotiating strategies, modeling current and future facility and physician contract rate proposals.

* Analyzes changes to reimbursement rules and regulations for all payers, evaluates impact on hospital and physician reimbursement, and educates appropriate personnel.

* Reviews and evaluates the language of the Managed Care contracts and participates in negotiations, as needed. Identifies any compliance issues and coordinates contract workflow/approval through legal review to contract execution.

* Maintains all contract management software and content related to executed contracts and modeling, ensuring data integrity and consistency.

* Analytical support of regional leadership as it relates to Managed Care contracts and payment issues.

* Generates regular and ad-hoc reports for clinical and financial review and trending to analyze and compare information related to clinical procedures, payer categories, volume, net income, net loss, charges, costs, revenue, and variances.

* May provide education and training to staff or third party vendors, as needed.

* Must be able to cross-train and support other analysts.

* Performs other duties as assigned or as needed by the business.

MINIMUM QUALIFICATIONS

Education

* Bachelor's degree in statistics, economics, accounting, finance, health administration, or another related field is required.

* MHA or MBA is preferred.

Work Experience

* Minimum three (3) to five (5) years of experience in a healthcare setting with experience in reimbursement, revenue cycle, and/or managed care contracting.

Equal Employment Opportunity

Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the "EEO is the Law" poster:

http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf"

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (link to E-verify site)

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