RWJBarnabas Health
Senior Managed Care Analyst (Remote/Hybrid) - Oceanport, NJ
NewPayCompetitive
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
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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.