Managed Care Analyst

Job Description

Job Description

Managed Care Analyst  | $46.00/hr.  |  Full Time  | Long Term Contract | Remote 

What Matters Most

• Competitive Pay of $46.00 per hour 
• Schedule: Monday – Friday, 8 am to 5 pm.  
• Weekly Pay with direct deposit or pay card
• When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program

Job Description

Are you an experienced  Managed Care Analyst seeking a rewarding opportunity? Our client is seeking a Managed Care Analyst to join their team and support Epic contract management, reimbursement modeling, and financial analysis for hospital and professional billing. If you are passionate about ensuring reimbursement accuracy, optimizing managed care contracts, and improving revenue cycle performance, submit your resume today!

Responsibilities:

• Build, test, implement, and maintain complex Epic HB and PB contracts to ensure accurate reimbursement calculations and payment modeling.
• Configure and maintain Epic contract rules, components, and extensions while supporting system upgrades, enhancements, and testing.
• Analyze payer contracts, reimbursement trends, denials, and financial performance to identify revenue opportunities and areas for improvement.
• Interpret managed care contract terms and reimbursement methodologies, including CPT, HCPCS, MS-DRG, APC, and ICD-10.
• Develop reports, dashboards, and financial analyses using Epic Reporting, SAP BI, Power BI, StrataJazz, and Excel.
• Monitor contract performance and ensure compliance with Medicare, Medicaid, Medicare Advantage, and commercial payer requirements.
• Collaborate with Revenue Cycle, Managed Care, IT, and Financial Services teams to optimize workflows, maintain data accuracy, and communicate findings.

Qualifications and Requirements:

• Five years of experience in managed care and/or healthcare reimbursement is required. 
• Must have EPIC and SAP BusinessObjects (Webl/SAP Universes) or comparable tools. 
• Epic Resolute (HB) Expected Reimbursement Contracts Administration certification or an Epic Resolute (PB) Expected Reimbursement Contracts Administration certification is required upon hire. Both certifications must be obtained within 180 days of hire.
• Bachelor degree in Business Administration, Healthcare Management, Hospital Administration, Finance, Statistics, Economics, Industrial Engineering, Information Services or other related fields.

Benefits and Perks:

• $46.00/hr.  

Your New Organization:

Our client is a health organization within the Houston area with various career growth opportunities. 

Your Career Partner:

Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.

In the spirit of pay transparency, we want to share the base salary range for this position is $46.00/hr. not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.