University of Michigan · 9 hours ago
Managed Care Payer/Operations Analyst
Ann Arbor, MI
Full-time
Hybrid
Mid Level
4+ years expThe University of Michigan is a leading institution dedicated to improving health through education, patient care, and research. They are seeking a Managed Care Payer Analyst to support the day-to-day operations of payer contracts and enhance communication and relationship management with various payers across their health systems.
E-LearningEducationHigher EducationUniversities
Responsibilities
Analyze and improve operational processes related to managed care for all three sites including Michigan Medicine, Sparrow Health System, and UMHWest
Collect, analyze, and interpret data related to managed care programs, including reimbursement rates, claims data, and provider performance metrics
Collect and maintain information related to payers and plan relations, including the Payer and Plan Grid, Payer Profiles and Report Cards
Oversee the tracking, follow-up, and resolution of action items resulting from various payer meetings, including Joint Operating Committee (JOC) meetings, ensuring timely execution and alignment with organizational objectives
Provide strategic support to the Managed Care Contracting and Operations team by coordinating and contributing to internal initiatives, including the Revenue Cycle Forum, with a focus on integration and alignment across all three health systems
Partner with the Manager of Managed Care Operations and the Senior Director of Managed Care Contracting and Operations to plan, coordinate, and support Joint Operating Committee (JOC) meetings with payers across Michigan Medicine, UMH-Sparrow, and UMH-West, ensuring alignment with organizational priorities and contractual obligations
Engage in Payer Oversight Committee meetings to evaluate and address escalated payer issues submitted through the SBAR process, serving as a strategic review point for determining the appropriateness of advancing concerns to Joint Operating Committees (JOCs)Responsible for creation, dissemination, maintenance and tracking action items toward resolution of various payer meeting minutes, including but not limited to Joint Operating Committee meetings (JOCs)
Create, distribute, maintain and track various payer meeting agendas, including but not limited to Joint Operating Committee meetings (JOCs)
Responsible for tracking and following up on action items from various payer meetings, including but not limited to Joint Operating Committee meetings (JOCs), and reporting progress status
Assist and represent the Managed Care Contracting and Operations team with internal meetings, such as the Revenue Cycle Forum as it pertains to all three health systems
Liaison to all areas within Michigan Medicine relating to payer activity including key departments that directly interact with payers including Revenue Cycle, Care Management, Pharmacy, and the professional medical groups
Collaborate with the Manager, Managed Care Operations to ensure accurate and timely dissemination of payer-related information
Responsible for reviewing and responding to issues/concerns submitted from both internal and external constituents to the department shared email inbox in a timely manner
Create, coordinate, edit, and assist with PowerPoint presentations, Word documents, and Excel spreadsheets, as needed
Collaborate with the Manager, Managed Care Operations, to create and distribute periodic update reports for all functional/operational areas
Work in collaboration with team members within the MCCO Department
Other duties as needed and/or assigned
Qualification
Required
Bachelor's degree in healthcare administration, business, or related field is preferred. Equivalent work experience is acceptable
Minimum of four (4) years of experience working in the healthcare industry or managed care organizations
Excellent written and verbal communication skills, with the ability to convey complex information clearly and effectively
Strong interpersonal skills and ability to build and maintain relationships with diverse stakeholders both internal and external
Proficiency in Microsoft Office Suite, including but not limited to Microsoft Excel, PowerPoint, and Word
Detail-oriented with strong organizational, time management, and decision-making skills
Ability to work both independently and as part of a team environment in a hybrid environment
Ability to manage multi-faceted tasks in a fast-paced work environment while maintaining the level of detail critical to managed care operations
Preferred
Prefer to have experience with EPIC Electronical Medical Records System
Project management experience
Company
University of Michigan
The mission of the University of Michigan is to serve the people of Michigan and the world through preeminence in creating, communicating, preserving, and applying knowledge, art, and academic values, and in developing leaders and citizens who will challenge the present and enrich the future.
10001+ employees
H1B Sponsorship
University of Michigan 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 (662)
2024 (594)
2023 (787)
2022 (473)
2021 (411)
2020 (324)
Funding
Current Stage
Late StageTotal Funding
$359.75MKey Investors
Michigan Economic Development CorporationNational Institutes of HealthBreakthrough T1D
2025-07-17Grant· $1M
2025-06-07Grant· $1.17M
2025-04-23Grant
Leadership Team
Greg McGuire
Managing Director, Mcity
Robert Goodspeed
Chair, Urban and Regional Planning Program
Recent News
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