Children's National Hospital · 5 days ago
Senior Managed Care Analyst
Silver Spring, MD
Full-time
Onsite
Mid, Senior Level
$62K/yr - $62K/yr
3+ years expChildren's National Hospital is seeking a Senior Managed Care Analyst to support negotiations with managed care companies by collecting and analyzing data on costs, charges, and utilization. The role involves developing tools for evaluating contract performance and providing comprehensive reports for decision-making.
AssociationChild CareHealth CareNon Profit
Responsibilities
Develop reports to assess existing contracts by type of service
Develop models to assess impact of alternative contract rates to support negotiations
Provide updated reports for inpatient and outpatient service categories
Complete ad hoc reports for individual payors as needed
Provide routine reports to monitor plan utilization and contract performance
Provide comprehensive reports for evaluation of FY results
Provide analysis of cost information using available cost tables
Speak up when team members appear to exhibit unsafe behavior or performance
Continuously validate and verify information needed for decision making or documentation
Stop in the face of uncertainty and takes time to resolve the situation
Demonstrate accurate, clear and timely verbal and written communication
Actively promote safety for patients, families, visitors and co-workers
Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
Review rules and identify problem areas to assure expected payments are correct
Partner in the mission and upholds the core principles of the organization
Committed to diversity and recognizes value of cultural ethnic differences
Demonstrate personal and professional integrity
Maintain confidentiality at all times
Anticipate and responds to customer needs; follows up until needs are met
Demonstrate collaborative and respectful behavior
Partner with all team members to achieve goals
Receptive to others’ ideas and opinions
Contribute to a positive work environment
Demonstrate flexibility and willingness to change
Identify opportunities to improve clinical and administrative processes
Make appropriate decisions, using sound judgment
Use resources efficiently
Search for less costly ways of doing things
Qualification
Required
Bachelor's Degree Business, Accounting, Health Care Administration, Economics or Mathematics
3 years Relevant work experience in financial and/or utilization analysis
Proven analytical skills including ability to make recommendations based on financial analyses
Superior PC skills including proficiency in word, spreadsheet analysis and database management
Experience with financial and utilization analysis
Ability to work in a team environment with other analysts, managers, and physicians
Strong communication and organizational skills
Proficiency in presentation of analytical results
Preferred
Master's Degree
Previous experience in health care is highly desirable, including experience with hospital/physician information and patient accounting information systems
Company
Children's National Hospital
Children’s National Hospital, based in Washington, D.C., was established in 1870 to help every child grow up stronger.
Founded in 1870Washington, District of Columbia, USA
5001-10000 employees
H1B Sponsorship
Children's National Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (82)
2024 (55)
2023 (92)
2022 (59)
2021 (41)
2020 (51)
Funding
Current Stage
Late StageTotal Funding
$19.4MKey Investors
Gilbert Family FoundationAdvanced Research Projects Agency for HealthUnited Health Foundation
2025-10-09Grant· $8M
2024-10-23Grant· $8M
2021-11-09Grant· $3.4M
Leadership Team
Kurt Newman
President and CEO
Michelle Riley-Brown, MHA, FACHE
President and CEO
Recent News
BioWorld Financial Watch
2025-06-07
Company data provided by crunchbase