Sutter Health · 1 day ago
Managed Care Analyst, Sutter Senior Care, Limited Term
Sacramento
Full-time, Contract
Hybrid
Entry, Mid Level
$37.68/hr - $56.52/hr
2+ years expSutter Health is a healthcare organization seeking a Managed Care Analyst for their Sutter Senior Care division. The successful candidate will provide data and analyses to support contract negotiations and administration, focusing on financial modeling, forecasting, and performance monitoring.
Health CareHospitalNon Profit
Responsibilities
Provides data and analyses, including financial modeling and forecasting, to support contract negotiations and administration for affiliates
Creates periodic reports relating to payer performance, utilization, reimbursement and other clinical and financial data to assess and monitor contract/payer performance, identifying trends and patterns
Qualification
Required
Bachelor's: Accounting, Finance, Economics, Statistics, Business or Healthcare Administration or related field
2 years recent relevant experience
Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures
Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal, Medicare, fee-for-service, capitation/sub-capitation) for various types of healthcare entities (e.g., hospital, skilled nursing facilities, physician, ancillary and professional service providers)
Knowledge of healthcare/hospital accounting systems and audit processes
Familiar with healthcare contracting terminologies
Knowledge of healthcare/hospital operations and structure
Knowledgeable of the unique operational and financial reporting requirements that include incurred but not reported (IBNR) calculations/adjustments, Division of Financial Responsibility (DOFR) assessment and valuation, modeling and assessing plan health factors and population normalization principles
Ability to translate financial data and analysis into reports and presentations for appropriate audience
Critical thinking and quantitative analytical abilities to work with large and complex data sets
Organization skills and attention to details
Ability to read, comprehend, interpret and apply policies, procedures, practices, contract language, and regulatory and legal requirements, including financial reports
Displays a customer service focus in all decisions and actions
Ability to prioritize workload to complete assignments accurately and timely, and to meet strict timelines
Ability to communicate through verbal and written means, and to present information to a variety of audiences
Ability to interact and maintain effective working relationships with those contacted in the performance of required duties
Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment
Demonstrates initiative in providing feedback/input to improve workflow/processes
Ability to work effectively in a dynamic and fast-paced environment with changing business priorities
Ability to maintain and work discreetly with confidential information
Ability to use essential applications and/or databases associated with the role's duties and responsibilities
Preferred
Medical data analyst experience, preferably in a Home Health/Hospice environment
Benefits
Comprehensive benefits package
Company
Sutter Health
Sutter Health is a non-profit organization operating a network of hospitals and physicians in Northern California.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$27.17MKey Investors
Department of Health Care Services
2025-05-19Grant· $23M
2016-11-22Grant· $1.2M
2013-10-09Grant· $2M
Leadership Team
Megan Gillespie
Chief Executive Officer
Warner L. Thomas
Chief Executive Officer
Recent News
2025-11-19
2025-11-19
Company data provided by crunchbase