Managed Care Analyst

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This range is provided by Artisan Field, Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$23.00/hr - $27.60/hr

We’re a collaborative, patient-focused organization dedicated to excellence in managed care and provider support. In this role, you’ll have the opportunity to grow your analytical expertise, contribute to cross‑functional process improvements, and be part of a team that values precision, integrity, and teamwork.

The Managed Care Analyst I plays a vital role in maintaining the accuracy and integrity of eligibility and capitation data across multiple systems. This position serves as a key liaison between internal departments, health plans, and employer groups to ensure smooth operations, timely issue resolution, and compliance with managed care requirements. The ideal candidate is highly analytical, detail-oriented, and thrives in a fast‑paced, team‑driven environment.

• Maintain eligibility files using multiple electronic platforms including Eddie, Bowman, and EZ‑Net.
• Research and resolve eligibility issues for UM/QM and Claims Departments.
• Reconcile Eligibility and Capitation reports to ensure data accuracy.
• Update misassigned and unassigned member information to ensure accurate PCP capitation.
• Communicate with health plans and employer groups to verify and update eligibility information.
• Download and review reports from health plans for eligibility verification.
• Assist in identifying benefit plan codes and verifying benefits, including the input of copays, coinsurance, and deductibles.
• Research and resolve requests from the Finance Department regarding PCP assignment changes, terminations, or additions.
• Act as a liaison for PCPs, specialists, and clients to verify eligibility and document resolutions.
• Provide claim details to health plans for Workers’ Compensation requests.
• Research eligibility for Revenue Recovery inquiries and projects.

• High School Diploma required;
  Bachelor’s Degree desirable or equivalent combination of education and experience.
• Minimum of three (3) years of healthcare experience and/or training required.
• Familiarity with EZ‑Cap and Microsoft Office Suite (Excel, Outlook, Word); ability to learn new systems quickly.
• Strong analytical and problem‑solving skills with high attention to detail.
• Excellent oral and written communication skills; able to communicate professionally with all levels of staff and external partners.
• Proven ability to manage multiple priorities and meet deadlines in a fast‑paced environment.
• Demonstrated professionalism, diplomacy, and trustworthiness.
• Positive attitude and strong team player.
• Ability to negotiate, problem‑solve, and make independent decisions as needed.
• Competitive benefits package that includes 401k matching, Paid Time Off, Medical, Dental, Vision, and supplemental options.

Seniority level: Mid‑Senior level

Employment type: Full‑time

Job function: Health Care Provider

Industries: Graphic Design

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