All roles

Open role

Managed Care Analyst II

Remote · Finland 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

[Remote] Healthcare Vendor Relations Specialist (Remote)

Work from home Full-time role

[Remote] Senior Platform & Reliability Engineer (SRE)

Work from home Full-time role

Territory Manager

Work from home Full-time role

Kundenberater (m/w/d) – Karriere mit Zukunft und Perspektive (German Speaking)

Work from home Full-time role

Remote Customer Service Representative – Pharmacy Benefits & Member Support – Flexible Work‑From‑Home Role for Orlando Region at careerzynith

Work from home Full-time role

Senior Market Data Analyst

Work from home Full-time role

Experienced Part-Time Remote Web Chat Representative – Work from Home Opportunity at careerzynith

Work from home Full-time role

Creative Director - Experiences

Work from home Full-time role

Claims Examiner - Commercial Trucking | Bodily Injury

Work from home Full-time role

Senior Software Engineer (L3) - Full Stack

Work from home Full-time role

Experienced Full Stack Data Entry Specialist – Remote Data Management for careerzynith

Work from home Full-time role

Technical Writer (6400) Remote / Telecommute Jobs

Work from home Full-time role

Manager, Trial Operations

Work from home Full-time role

[Remote] Data Analyst II - Outcome Analytics

Work from home Full-time role

Vice President of Ecommerce (Remote)

Work from home Full-time role

[Remote] Work From Home - Financial Services - We Train

Work from home Full-time role