Hackensack Meridian Health · 12 hours ago
Managed Care Financial Analyst
Edison, NJ
Full-time
Onsite
Entry, Mid Level
$72K/yr - $72K/yr
2+ years expHackensack Meridian Health is dedicated to transforming healthcare and serving as a leader of positive change. The Managed Care Financial Analyst collaborates with leadership to monitor payer policies and perform financial valuations to assess their impact on overall revenue, while also analyzing accounts receivable and ensuring compliance with managed care contract terms.
Assisted LivingHealth CareHealth DiagnosticsHospitalMedical
Responsibilities
Review payer policy updates and perform financial valuation for revenue implications
Identify, collect, integrate and analyze data from internal data sources and external sources (i.e. Medicare or Medicaid) by utilizing skills in data preparation, data transformation and data visualization
Prepares statistical and financial data reports to enable management to accurately monitor payer performance
Works with Revenue Cycle operations department and Digital Technical Services (DTS) systems analysts to ensure correct implementation of Managed Care contracts for appropriate reimbursement
Analyzes payer reimbursement to ensure proper claim adjudication, track and report high volume discrepancies
Analyze claims data to perform a root cause analysis surrounding the claim payment discrepancies to isolate if issue is an internal or external pricing issue
Identify areas of concern impacting revenue by closely monitoring financial performance and compliance with managed care contract terms to ensure revenue maximization
Work closely with Managed Care leadership in developing processes and workflows on trends to increase revenue
Perform additional ad hoc projects as assigned
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior
Qualification
Required
Bachelor's degree or equivalent experience with a High School diploma, general equivalency diploma (GED), and/or GED equivalent programs
Minimum of 2 or more years of relevant experience
Prior experience in Patient Financial Services/Patient Accounting Department or Managed Care Department for a University Medical Center, Hospital, or Health Insurance organization
Knowledge of Managed Care contracts, Medicare and Medicaid
Through knowledge of billing requirements and regulations of major payers
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms
Preferred
Strong analytical skills
Reporting
Epic Reporting Tools such as Reporting Workbench and Slicer Dicer
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
Hackensack Meridian Health
Hackensack Meridian Health is a health care organization that offers research and medical services.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$36.3MKey Investors
Baldrick's FoundationNational Institutes of Health
2023-11-21Grant
2023-02-24Grant· $3M
2019-05-10Grant· $33.3M
Leadership Team
Robert C. Garrett
Chief Executive Officer
Michael Allen
President, Financial Services Division and CFO
Recent News
bloomberglaw.com
2026-01-20
2025-12-15
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