What is the role of a Managed Care Analyst at North Kansas City Hospital?

The Managed Care Analyst position at North Kansas City Hospital is a Full-time or part-time position opportunity in the Medical field.

Where is this Managed Care Analyst job located?

North Kansas City, Missouri, 64116-3220, United States

What type of employment is offered for this Managed Care Analyst role?

Full-time or part-time position

What is the expected salary for this Managed Care Analyst job?

Compensation will be discussed during the hiring process.

How can I apply for the Managed Care Analyst position at North Kansas City Hospital?

You can apply directly through the application link provided.

Managed Care Analyst at North Kansas City Hospital

Managed Care Analyst

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, chargemaster, 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

Managed Care Analyst at North Kansas City Hospital – North Kansas City, Missouri

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