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MANAGED CARE SENIOR ANALYST - UNCHCS MANAGED CARE

Email Job Job ID: MAN0026Q

Job Description

Position: Managed Care Sr. Analyst

Location: Hedrick Building, Chapel Hill

Hours: Full-time, 40hrs, Monday-Friday

This position may involve support of various hospitals and health care systems within the UNC Health Care System, but will be employed by Rex Hospital, Inc. (this includes, but is not limited to, for purposes of payroll, health benefits, retirement options, and applicable policies). If selected candidate is currently employed with UNC Health Care System the candidate will stay on current payroll and benefits platform.

The Senior Managed Care Analyst provides support in negotiating and managing agreements with designated managed care organizations on behalf of the UNC Health Care System. The Senior Managed Care Analyst must participate in and prioritize multiple negotiations at one time to ensure the successful implementation of new agreements. The Senior Managed Care Analyst is part of all phases of the negotiation process and ensuring resolution to any issues that arise during the contract term. Typical activities include financial analysis and/or development of proposed reimbursement terms, rate modeling, reimbursement and contract negotiation, trouble-shooting contract issues and responding to requests for information/proposal.

A successful candidate will be able to demonstrate experience in developing claims data models on a provider specific basis; preparing, evaluating and distributing data utilized in the pricing and cost dimension of the contracting process; conducting analyses to accurately predict results to be achieved in contracting initiatives;  utilizing data visualization in the development of dashboards and balanced scorecards with key performance indicators for both professional and hospital metrics; and  performing analyses for use in strategic planning.


Qualifications

Bachelor's degree in relevant field. Requires five (5) years of experience with managed care contracts, data analysis or provider relations.

 

If an Associate's degree: Nine (9) years of experience with managed care contracts, data analysis or provider relations.

 

If High School diploma or GED: Thirteen (13) of experience with managed care contracts, data analysis or provider relations.

Primary Location: Chapel Hill, North Carolina, United States

Department: REXH-70035-UNCHCS MANAGED CARE

Shift: Day Job

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  • Management- Non-Clinical, Chapel Hill, North Carolina, United StatesRemove