Sutter Health

Managed Care Analyst II

Sutter Health$80K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting, Finance, Economics, Statistics, Business, Healthcare Administration or related field; equivalent experience accepted.
  • 2 years recent relevant experience in document management or related field.
  • Proficiency in financial modeling and analysis principles, methods, and procedures.
  • Familiarity with managed care payment/reimbursement methodologies such as Medicaid/Medi-Cal and Medicare.
  • Solid understanding of healthcare contracting terminology and hospital accounting systems.

Responsibilities

  • Provide high-level document management for contract negotiations across Sutter affiliates.
  • Create documents with precise wording and formatting for legal accuracy.
  • Track input from multiple parties, including legal representatives, to streamline contract processes.
  • Analyze complex data sets to translate financial information into clear reports for stakeholders.
  • Support the division by ensuring compliance with financial reporting standards and healthcare operational requirements.

Benefits

  • Comprehensive benefits package including healthcare options.
  • Paid time off and holiday pay.
  • Retirement savings plans.
  • Employee wellness programs and support tools.
  • Opportunities for professional development and career advancement.
Full Job Description
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

Pay Range is $38.55 to $57.83 / 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.

About Sutter Health

Sutter Health is a not-for-profit health system in Northern California, headquartered in Sacramento. It includes doctors, hospitals and other health care services in more than 100 Northern California cities and towns. Major service lines of Sutter Health-affiliated hospitals include cardiac care, women’s and children’s services, cancer care, orthopedics and advanced patient safety technology.
Learn more about Sutter Health
Size
58,000 employees
Industry
Founded
1981

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