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University of Missouri Health Care · 13 hours ago

Managed Care Reimbursement Analyst

Columbia, MO

Full-time

Hybrid

Mid, Senior Level

$53K/yr - $83K/yr

5+ years exp

University of Missouri Health Care is looking for a sharp, innovative, and detail-driven professional to transform complex data into meaningful insights that drive business decisions. The role involves financial modeling, analysis of managed care payment proposals, and managing facility contract models in the Decision Support/Contract Management system.

Health CareHospitalMedical

Responsibilities

Responsible for financial modeling and analysis of all managed care payment proposals

This includes preparation of contract history and performance reports, contract segmentation analysis, impact reports of various contract structures and rates, and consultation of key reimbursement drivers in the models to assist in contract negotiation process

Responsible for creating and managing facility contract models within the Decision Support/Contract Management system

This includes implementing final negotiated rates in the decision support/contract management system, updating the contract for fee schedule updates, performing other ongoing maintenance to ensure accurate expected reimbursement calculations

Key team member in the overall management of Decision Support/Contract Management System; this includes participating in decisions regarding installations, upgrades, testing and maintenance

Provides input to the vendor about functional design, data components, and other parameter and use that impact the efficiency and accuracy of the modeling tools

Produces monthly and complex quarterly managed care/payor report that include payor performance, payor mix, payor trends, service line analysis, and business trend analysis

Develops and provides ad-hoc reporting for special data accumulations, studies, and projects requested by internal management or other external sources as necessary

Projects include but are not limited to: payor contract summary detail information for bond rating requests, preparation of year-end contractual allowance estimates for various third-party payors, and support for Center of Excellence surveys

Qualification

Financial modelingContract analysisManaged care reimbursementDecision Support systemsData analysisCollaborationAttention to detailCommunication skillsProblem-solving

Required

Bachelor's degree is required, preferably in Business Administration, Information Technology, Finance or Statistics

Requires five or more years experience in hospital contract financial analysis or hospital finance; including a thorough understanding of payor contracts, payor reimbursement, payor manuals, and reimbursement policies

Preferred

Experience within an academic medical center is highly desirable

Benefits

Health, vision and dental insurance coverage starting day one

Generous paid leave and paid time off, including nine holidays

Multiple retirement options, including 100% matching up to 8% and full vesting in three years

Tuition assistance for employees (75%) and immediate family members (50%)

Discounts on cell phone plans, rental cars, gyms, hotels and more

Company

University of Missouri Health Care

As part of the state’s premier academic medical center, University of Missouri Health Care offers a full spectrum of care, ranging from primary care to highly specialized, multidisciplinary treatment for patients with the most severe illnesses and injuries.

Founded in 1839

Columbia, Missouri, USA

5001-10000 employees