Managed Care Analyst

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* Location:

** Expand Show Other Jobs Job Saved Managed Care Analyst

NKC Health
** Internal Number:
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* SUMMARY:

Under the direction of the Reimbursement and Managed Care Analytics Director, the Managed Care Analyst is responsible for helping ensure the financial health of NKC Health and NKC Health Medical Group through support of enterprise managed care activities. Additional responsibilities include, but are not limited to the following:
Responsible for loading, modeling, support and maintenance of the managed care contracts and fee schedules within the contract management system, including both Hospital and Professional agreements. Participates in contract modeling and other financial analysis using significant amounts of data that must be interpreted to inform decision-making by the managed care contracting and operations teams. Requires a deep understanding of healthcare reimbursement for hospitals and medical groups, contract negotiation concepts, financial analysis, and functionality of contract management databases.

Works closely with Managed Care, Patient Financial Services, Revenue Integrity, Business Intelligence, and Meritas Business Office.

EXPERIENCE:

Minimum 2 years of experience in a Health System or Managed Care Organization (MCO), with demonstrated experience in healthcare analytics. Demonstrated experience in problem-solving and project management.

Experience with contract management and modeling software, managed care principals, hospital and professional coding, reimbursement, and financial terms such as DRG, CPT, HCPCS, ICD-10, APC, ASC groupers, charge master, revenue codes and payor policies preferred.

Experience with Cerner Patient Accounting preferred. SPECIAL

SKILLS:

Highly skilled in data collection, data analysis (Power BI), advanced Excel knowledge (including pivot functionality and advanced formulas), and relational databases.

Experience with database extraction of patient accounting, medical records, and patient healthcare record data. Knowledge of hospital and physician reimbursement methodologies (i.e. DRG, per diem, fee schedule, APC). Working knowledge of billing/coding terminology (i.e. ICD-10, CPT, Revenue codes). OTHER:
Excellent organization and attention to detail are required. Ability to communicate complex information to various audiences. Able to work in a fast-paced environment Problem solve issues where analysis is required; decisions and actions have a direct impact on hospital financials. Works independently, and as part of a team. Multitask and prioritize multiple tasks to meet deadlines. Takes ownership of job, and proactively responds to commitments.

Takes specific actions to improve own work methods or systems. Develops and implements new and unique ideas. LICENSE/CERT:
Preferred: CCS (Certified Coding Specialist)

EDUCATION:

Required:

Bachelors - Business, Bachelors - Finance, Bachelors - Accounting, Bachelors - Health Care Management About NKC Health North Kansas City Hospital and Meritas Health are now NKC Health. For nearly 70 years, we’ve worked to improve the health and well-being of patients and families across our region. As NKC Health, we keep that promise every day by bringing innovative, comprehensive care that’s always delivered with kindness.

With more than 4,700 staff members — including over 600 dedicated physicians — along with specialists and caregivers across 35 locations and counting, we offer everything you need to live your healthiest life. We can’t wait to welcome you.(Use the "Apply for this Job" box below).-analystDetails
** Posted:
** 14-Feb-26
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* Location:

** North Kansas City, Missouri
** Categories:
** Operations
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