Managed Care Analyst II

Sutter Health

Sacramento, CA

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JOB DETAILS

SALARY

$37.68–$56.52 Per Hour

SKILLS

Accounting, Accounting Software, Analysis Skills, Business Administration, Communication Skills, Contract Management, Contract Negotiation, Customer Support/Service, Data Sets, Detail Oriented, Document Management, Economics, Establish Priorities, Finance, Financial Analysis, Financial Audit, Financial Management, Financial Modeling, Financial Reporting, Healthcare, Healthcare Administration, Healthcare Reimbursement, Hospital, Hospital Systems, Legal, Managed Care, Medi-Cal, Medicaid, Medical Billing, Medicare, Nursing, Organizational Skills, Presentation/Verbal Skills, Process Improvement, Professional Services, Quantitative Analysis, Regulations, Regulatory Requirements, Statistics, Time Management

LOCATION

Sacramento, CA

POSTED

1 day ago

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Provides independent high-level document management to include complex tracking of legal and formal business language to support systemwide contract negotiations and administration on behalf of Sutter affiliates. Creates documents with the highest possible level of accuracy specific to appropriate wording, context and formatting to ensure accurate document interpretation, including tracking document input from multiple parties including legal representatives.

Job Description :

EDUCATION:

_Equivalent experience will be accepted in lieu of the required degree or diploma._

+ Bachelor's: Accounting, Finance, Economics, Statistics, Business or Healthcare Administration or related field

TYPICAL EXPERIENCE:

+ 2 years recent relevant experience

SKILLS AND KNOWLEDGE:

+ Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures.

+ Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal, Medicare, fee-for-service, capitation/sub-capitation) for various types of healthcare entities (e.g., hospital, skilled nursing facilities, physician, ancillary and professional service providers).

+ Knowledge of healthcare/hospital accounting systems and audit processes.

+ Familiar with healthcare contracting terminologies.

+ Knowledge of healthcare/hospital operations and structure.

+ Knowledgeable of the unique operational and financial reporting requirements that include incurred but not reported (IBNR) calculations/adjustments, Division of Financial Responsibility (DOFR) assessment and valuation, modeling and assessing plan health factors and population normalization principles.

+ Ability to translate financial data and analysis into reports and presentations for appropriate audience.

+ Critical thinking and quantitative analytical abilities to work with large and complex data sets.

+ Organization skills and attention to details.

+ Ability to read, comprehend, interpret and apply policies, procedures, practices, contract language, and regulatory and legal requirements, including financial reports.

+ Displays a customer service focus in all decisions and actions.

+ Ability to prioritize workload to complete assignments accurately and timely, and to meet strict timelines.

+ Ability to communicate through verbal and written means, and to present information to a variety of audiences

+ Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.

+ Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.

+ Demonstrates initiative in providing feedback/input to improve workflow/processes.

+ Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.

+ Ability to maintain and work discreetly with confidential information.

+ Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $37.68 to $56.52 / hour

_The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package._

About the Company

Sutter Health

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.

We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.

Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

COMPANY SIZE

10,000 employees or more

INDUSTRY

Healthcare Services

EMPLOYEE BENEFITS

Professional Development, 401K, Flexible Spending Accounts, Retirement / Pension Plans, Tuition Reimbursement, Life Insurance

FOUNDED

1921

WEBSITE

https://jobs.sutterhealth.org/

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