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Managed Care Financial Specialist

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Academy of Managed Care Pharmacy
Full Time position
Listed on 2026-01-01
Job specializations:
  • Finance & Banking
    Financial Analyst
Salary/Wage Range or Industry Benchmark: 55000 - 75000 USD Yearly USD 55000.00 75000.00 YEAR
Job Description & How to Apply Below

Overview

Responsible for the reviewing and validating over and under payments identified within EPIC contract management system as it relates to Managed Care and commercial payor accounts. The specialist is involved with the data gathering, financial modeling and creating ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports will be used for the contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process.

Department

Description

Serving the community since 1961, Wake Med Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit (Use the "Apply for this Job" box below). . EOE

Licensure

EPIC Certification in Area of Responsibility Preferred

Education

Bachelor's Degree Finance Or Business Administration With College Courses Accounting Required - And Medical Terminology Preferred

Experience

2 Years Accounting/Finance - Collections And 1 Year Accounting/Finance - Third Party Payors And 2 Years Healthcare Required - And Managed Care Contracting And Medical Insurance Plans Preferred

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