St. Jude Children's Research Hospital · 19 hours ago
Senior Managed Care Contracts Analyst
Tennessee, United States
Full-time
Onsite
Mid, Senior Level
$78K/yr - $139K/yr
4+ years expSt. Jude Children's Research Hospital is seeking a Senior Managed Care Contracts Analyst to support their mission by managing contracts related to facility and professional services. The role involves evaluating, analyzing, negotiating, and monitoring contract terms while contributing to various Managed Care contracting initiatives.
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Responsibilities
Contribute to the creation of complex financial models; perform scenario analyses of payor reimbursement using patient data and contract terms
Lead analysis of all current and future payor contract terms
Perform validation and organize patient information for contract models
Monitor and analyze variances between negotiated contract payment terms and contract performance; ensure actual reimbursement is consistent with expected payment calculations
Develop summary presentations, report findings of collection issues and provide alternative recommendations to senior leadership for future contract terms or methodologies
Monitor financial performance, and gathering information to recommend changes to managed healthcare programs
Train and mentor team members to meet the comprehensive fiscal objectives at St. Jude while complying with policies and procedures
Perform other duties as assigned to meet the goals and objectives of the department and institution
Maintains regular and predictable attendance
Qualification
Required
Bachelor's degree (e.g., Business Administration, Information Services) or any health related field of study required
Minimum Requirement: 4+ years of experience; proven experience with managed care contracting required
Strong experience with the financial aspects of various payment mechanisms within managed care
Experience working with cross-functional teams
Proven performance in earlier role
Benefits
Explore our exceptional benefits!
Company
St. Jude Children's Research Hospital
St.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$62.4MKey Investors
Kia MotorsKBR Charity Golf TournamentHyundai Hope On Wheels
2025-05-12Grant· $1.5M
2024-10-28Grant
2024-08-28Grant· $0.4M
Leadership Team
Judy A. Habib
Chair, Board of Directors
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