All roles

Open role

Managed Care Analyst II

Remote · Malaysia Full-time

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: Provides independent high-level document management to include complex tracking of legal and formal business language to support systemwide contract negotiations and administration on behalf of Sutter affiliates. Creates documents with the highest possible level of accuracy specific to appropriate wording, context and formatting to ensure accurate document interpretation, including tracking document input from multiple parties including legal representatives. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma.

  • Bachelor's: Accounting, Finance, Economics, Statistics, Business or Healthcare Administration or related field

TYPICAL EXPERIENCE:

  • 2 years recent relevant experience

SKILLS AND KNOWLEDGE:

  • Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures.
  • Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal, Medicare, fee-for-service, capitation/sub-capitation) for various types of healthcare entities (e.g., hospital, skilled nursing facilities, physician, ancillary and professional service providers).
  • Knowledge of healthcare/hospital accounting systems and audit processes.
  • Familiar with healthcare contracting terminologies.
  • Knowledge of healthcare/hospital operations and structure.
  • Knowledgeable of the unique operational and financial reporting requirements that include incurred but not reported (IBNR) calculations/adjustments, Division of Financial Responsibility (DOFR) assessment and valuation, modeling and assessing plan health factors and population normalization principles.
  • Ability to translate financial data and analysis into reports and presentations for appropriate audience.
  • Critical thinking and quantitative analytical abilities to work with large and complex data sets.
  • Organization skills and attention to details.
  • Ability to read, comprehend, interpret and apply policies, procedures, practices, contract language, and regulatory and legal requirements, including financial reports.
  • Displays a customer service focus in all decisions and actions.
  • Ability to prioritize workload to complete assignments accurately and timely, and to meet strict timelines.
  • Ability to communicate through verbal and written means, and to present information to a variety of audiences
  • Ability to interact and maintain effective working relationships with those contacted in the performance of required duties.
  • Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment.
  • Demonstrates initiative in providing feedback/input to improve workflow/processes.
  • Ability to work effectively in a dynamic and fast-paced environment with changing business priorities.
  • Ability to maintain and work discreetly with confidential information.
  • Ability to use essential applications and/or databases associated with the role’s duties and responsibilities.

Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $37.68 to $56.52 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

More open positions

Recruiter / Healthcare / Remote / Great earning potential

Work from home Full-time role

LVN - Nurse Consultant

Work from home Full-time role

Certified Medical Assistant (CMA / CNA / LPN) - East Stroudsburg

Work from home Full-time role

Certified Nursing Assistant, Medical Surgical (Med 1)

Work from home Full-time role

RN - Nurse Auditor - HCC Program Management

Work from home Full-time role

Intelligence Analyst

Work from home Full-time role

Client Account Specialist

Work from home Full-time role

GAAP Accountant

Work from home Full-time role

Junior Web Developer - Remote Work Opportunity: Build, Optimize, and Innovate with Workwarp's Dynamic Team

Work from home Full-time role

SEO Specialist, Remote

Work from home Full-time role

[Remote] Program Business Analyst HEALTH PROGRAM (Massachusetts REMOTE)

Work from home Full-time role

SaaS Sales Executive - (OTE $175,000/year USD), CXT Software

Work from home Full-time role

[Remote] Senior Site Reliability Engineer, Core Cloud Engineering

Work from home Full-time role

Fractional CFO (Remote — US Based)

Work from home Full-time role

[Remote] Senior Data Analyst

Work from home Full-time role

Remote Real Estate Lending Customer Service Representative - Unlock Your Potential

Work from home Full-time role

Commercial Reservations Sales Representative - Remote

Work from home Full-time role

Drupal Content Manager

Work from home Full-time role

Real Estate Paralegal job at Realty Income Corporation in San Diego, CA

Work from home Full-time role

Event Experience Manager (Remote) - Cvent Experience Required

Work from home Full-time role

Coding Auditor- Remote

Work from home Full-time role