Analytics Director, Managed Care
About the role
The Managed Care Analytics Director oversees analytics supporting MedStar Health's Managed Care Operations contract negotiations and system initiatives. Key responsibilities include:
- Financial modeling
- Reimbursement forecasting
- Contract performance monitoring
- Market analyses
Responsibilities
Partner with physicians, finance, and administrative leaders on managed care contract carve-outs.
- Recommend process improvements to maximize reimbursement
- Develop business rules
- Prepare financial and regulatory reports
- Collaborate with billing teams, providers, and payers to resolve reimbursement and operational issues
Requirements
Minimum qualifications include:
- Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field
- Master's degree in MBA, MHS or other graduate degree with a health care or information systems concentration preferred
- Knowledge of healthcare delivery settings, clinical data management, and health care insurance
- 5-7 years Healthcare analytics, database management, and information management experience
- Managed care payor or multi-hospital health system reimbursement experience
Qualifications
Preferred qualifications include:
- Experience with healthcare delivery settings
- Knowledge of clinical data management
- Understanding of health care insurance
Skills
Key skills required include:
- Strong analytical and problem-solving abilities
- Excellent communication and collaboration skills
- Proficiency in healthcare data analysis tools
- Ability to manage multiple projects simultaneously
Benefits
MedStar Health offers a supportive and inclusive work environment, comprehensive health and wellness benefits, generous PTO, tuition assistance, retirement plans, and many other benefits focused on your wellbeing.
Pay
Details about pay are not specified in this posting.
Schedule
Details about the schedule are not specified in this posting.
Benefits
Details about benefits are not specified in this posting.