Emerus Holdings, Inc. · 21 hours ago
Sr. Managed Care Contract and Data Analyst
United States
Contract
Remote
Mid, Senior Level
3+ years expEmerus Holdings, Inc. is the leader in small-format hospitals, partnering with respected health systems to provide patient care in local neighborhoods. The Sr. Managed Care Contract and Data Analyst collaborates with the Vice President of Managed Care to manage contract databases, conduct financial analysis, and support revenue cycle teams on payer-related issues.
Health CareHealth DiagnosticsService Industry
Responsibilities
Serve as the managed care liaison and subject matter expert for joint venture hospital partners, revenue cycle billing and collections teams, and finance department leaders
Compile and analyze payer performance metrics for reporting to organizational leadership
Maintains up-to-date managed care contract databases to streamline collections, support analysis, and share contract terms efficiently
Assist the revenue cycle team by loading and maintaining current payer rates in an insured allowed/payment validation module
Perform random audits of claim payments to ensure payer compliance with managed care agreements
Support special projects, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities
Build contract models to assess current performance yields and evaluate new contract proposals
Collaborate with the revenue cycle team to identify underpaid/overpaid claims and develop initiatives to secure accurate payments
Provide managed care insights and contract modeling (e.g., rate escalators, charge master updates, new contract yields) to support the finance team’s annual budget process
Aid the revenue recognition team during month-end close by offering managed care perspectives on key revenue-influencing items
Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files
Represent managed care in joint venture board meetings or monthly operational reviews as required
Conduct financial data analysis and respond to internal/external inquiries from management
Provide clear explanations and actionable recommendations on managed care topics
Contribute to cross-functional projects with Finance, Operations, Revenue Cycle, and Business Development, delivering ad-hoc analysis as needed
Attend required staff meetings, company-sponsored events, or mandated gatherings
Take ownership of personal professional development
Perform additional duties as assigned
Qualification
Required
Bachelor's degree in Finance, Accounting, Business Administration, or equivalent experience required
Proven ability to build financial and statistical models, analyze data, and drive actionable results
Excellent organizational, written, and verbal communication skills
Advanced Microsoft Excel modeling skills (required); proficiency in Word, PowerPoint, and Outlook (essential)
Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL
Intermediate knowledge of data preparation and visualization techniques using PowerBI
Strong analytical and problem-solving capabilities
Comfortable working in a fast-paced environment with minimal supervision
Ability to meet deadlines while managing multiple projects and delivering high-quality work
Detail-oriented with a strategic, big-picture mindset
Preferred
Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes
Company
Emerus Holdings, Inc.
Small Footprint. Big Impact.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$30MKey Investors
Austin Ventures
2015-09-01Private Equity
2011-01-18Series Unknown· $30M
Leadership Team
John Buck
President
Recent News
2025-03-11
Company data provided by crunchbase