Managed Care Analyst III

The Managed Care Analyst III develops contract models for managed care contracts (including fee for service, value based, and P4P methodologies), creates and maintains ad hoc reporting on healthcare utilization and quality, and supports contract negotiation through consistent and thoughtful data analysis. Modeling and analytics include gathering data from multiple data sources, evaluating and synchronizing resulting data, benchmarking key financial and quality indicators, adjusting for market conditions and strategic objectives, checking for reasonableness using independent judgment, and interpretation of various types of health care data including claims data, encounter data and financial reports. The Managed Care Analyst III presents model results and communicates internally and externally to develop and implement contracts and to support ongoing Managed Care strategies.

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