RWJBarnabas Health

Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJ

New

PayCompetitive
LocationOceanport/New Jersey
Employment typeFull-Time

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  • Job Description

      Req#: 89930
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Hybrid/Remote work flexibility with the expectation to come onsite approximately once a quarter
      - Involvement in critical aspects of contract negotiations and revenue optimization
      - Supportive environment fostering collaboration across departments
      - Chance to work with advanced data analysis using tools like EPIC and Microsoft Excel

      What to Expect (Job Responsibilities):
      - Lead analytical modeling of contract rates during managed care negotiations using EPIC
      - Assist in managed care payor negotiations, including proposals, rate validation, and communication with insurance companies
      - Evaluate payor performance regarding profitability, benchmarking, and contract compliance
      - Collaborate with the business office on contract interpretation and denial reviews
      - Research changes in managed care payor policies and assess their financial impact on the health system

      What is Required (Qualifications):
      - Bachelor’s Degree required, preferably in Finance, Accounting, or a Healthcare-related field
      - Advanced knowledge of Microsoft Excel, including formulas, vlookups, and pivot tables
      - Experience with EPIC and a willingness to obtain Resolute Hospital Billing Certification within six months of employment
      - Strong analytical skills with the ability to manipulate large data sets into meaningful information
      - Strong interpersonal and email communication skills

      How to Stand Out (Preferred Qualifications):
      - Five years of experience related to healthcare reimbursement
      - Experience solving complex problems related to reimbursement and revenue cycle functions

      #HealthcareServices #ManagedCare #DataAnalysis #CareerOpportunity #RemoteWork

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      RWJBarnabas Health is a network of independent healthcare providers in New Jersey, based out of West Orange. Members include academic centers, acute care facilities, and research hospitals. The goals of the network include collaboration on educational and research programs.