Contract and Data Analyst (Managed Care) jobs in United States
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Integrated Resources, Inc ( IRI ) · 1 month ago

Contract and Data Analyst (Managed Care)

Integrated Resources, Inc (IRI) is seeking a Contract and Data Analyst specializing in Managed Care. The role involves analyzing managed care contracts, developing financial models, and ensuring compliance while collaborating with various stakeholders.

BiotechnologyHealth CareHuman ResourcesRecruitingStaffing Agency

Responsibilities

Analyze managed care contracts and communicate operational impacts across departments
Develop models, perform financial analysis, and monitor performance of new and existing contracts
Audit financials to ensure payment compliance and negotiate discrepancies with payors
Review and negotiate contract language during contracting processes
Build, maintain, and test contract projection models in Epic for physician and hospital reimbursement
Perform programming and analysis to ensure accurate rate and revenue code operations in Epic
Collaborate with Epic teams to validate builds and ensure models function correctly in production
Resolve contractual disputes by coordinating with internal and external stakeholders
Develop processes and maintain data sets required for contract analysis
Interact frequently with directors and other senior-level stakeholders
Perform additional related duties as assigned

Qualification

Epic certificationContract modelingFinancial analysisManaged care experienceMicrosoft ExcelAnalytical abilitiesContract negotiationsProblem-solvingAttention to detailCollaborative work

Required

3–4 years of related experience
Experience in health plan insurance contracting, provider/facility reimbursement, and managed care
Experience with contract modeling, financial analysis, and contract compliance
Experience with EHR systems; Epic experience preferred
Ability to obtain and maintain Epic certification
Strong analytical and problem-solving abilities
Proficiency in Microsoft Excel, Word, Access, and Power BI
Ability to work both independently and collaboratively across departments
Strong attention to detail and ability to meet tight deadlines
Bachelor's degree in Business or related field (required)
Epic certification (must obtain and maintain)

Preferred

Experience with Microsoft Access
Data warehouse applications
Contract negotiations
Contract financial modeling
Contract language interpretation
Epic (highly preferred)
Prior experience in a health system, clinic, or surgery center

Company

Integrated Resources, Inc ( IRI )

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Integrated Resources Inc.

Funding

Current Stage
Late Stage
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