Senior Analyst, Managed Care Analytics

Role Description

Senior Analyst, Managed Care responsibilities include:

• Complex data and financial analysis.
• Financial interpretation of contract terms.
• Contract modeling and data validation.
• Development of reimbursement methodologies.
• Preparation of contract proposals utilizing sound rationale.
• Confidently presenting work product and making recommendations to leaders and executives that influence decision-making and optimize revenue.
• Providing consultative and analytic support related to managed care, strategic initiatives, and other ad hoc analytic support as identified.

The candidate shall operate in a telecommuting role, with primary working hours to be flexibly scheduled within the window of 7:00 a.m. to 7:00 p.m. Eastern Time, Monday through Friday.

Responsibilities

• Complete financial impact analysis of all contract activity, including modeling of contract financial terms, developing proposals, and recommending areas for revenue improvement.
• Monitor financial performance of current contracts including consideration of methodology and fee changes due to payor or source updates (CMS, Medicaid, etc.).
• Extract, validate, and manipulate large datasets utilizing programming skills such as SQL, SAS, or Python.
• Strategic financial analytics to include financial managed care impacts/forecasts related to increased services, new technology, or expanding service area.
• Present analytic findings with clear and concise work products in Excel, Tableau, and Power BI.
• Collaborate with Finance and Managed Care leadership to inform financial forecasts with year-over-year impacts of all contractual changes.

Qualifications

• 4+ years of experience in healthcare analytics role.
• 3+ years of experience with SQL or other similar programming language to include creating, editing, and executing code to successfully manipulate and extract large datasets.
• 4+ years of experience in demonstrated ability to present data and analytic observations through impactful visual storytelling.
• Advanced proficiency in Excel including extensive experience in the use of complex formulas and pivots.
• Prefer candidate with experience utilizing professional or facility claims data.
• Prefer candidate with experience in managed care contract terms.
• Prefer candidates with exposure to CMS professional payment methodology (i.e. CMS MPFS).
• Prefer candidate with experience in creating and optimizing Tableau dashboards for effective storytelling.

Education

• Bachelor’s degree (or higher) in Statistics, Mathematics, Engineering, Finance, Health Administration, or other closely related fields.

Benefits

• Competitive compensation program to attract, retain, and motivate a high-performance workforce.

Company Description

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging, with over 5,000 team members and more than 185 outpatient imaging centers across 13 states, conducting more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.