Managed Care Analyst

4 weeks ago


Valencia, United States Shield California Health Full time
Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

Shield HealthCare is looking for a Managed Care Analyst to support business operations through the development and preparation of key data and financial analysis. Creates analytical models to better understand growth opportunities and trends. Works with business partners to support long term profitable growth.

This is an on-site position in Valencia, CA.

JOB RESPONSIBILITIES:
  • Research and analyze contracts for profitable geographic or product line growth opportunities
  • Create advanced financial models for various business scenarios and provide key insights to stakeholders
  • Monitor performance of existing book of business by insurance carrier and provide recommendations to management
  • Partner with internal departments to understand impact of new business to existing processes
  • Communicate findings in a clear and concise manner both written and/or verbally
  • Update and maintain monthly financial and operational reports
  • Assist with the Request For Proposal (RFP) process
  • Handle multiple priorities with aggressive deadlines and ensure appropriate follow-up and closure
  • Participate in assessment of acquisition opportunities
  • Develop and prepare management reports that highlight operational results and trends
  • Prepare multiple ad-hoc analyses as requested

QUALIFICATIONS:
  • BS in in Accounting, Finance or equivalent
  • 3-5 years experience in data analysis, financial modeling and reporting
  • Advanced level of proficiency in MS Excel, including pivot tables, IF statements and Lookup functions
  • Excellent customer service skills and ability to work with internal operational teams
  • Proven ability to communicate results of analysis to non-financial staff with great impact
  • Healthcare industry experience preferred

SALARY & BENEFITS:
  • $33-43/hour
  • Medical, Dental, and Vision
  • 401(k) with Company Match
  • Sick and Vacation Days
  • Flexible Spending Account
  • Life & Disability Insurance
  • Education Assistance
  • Employee Referral Program

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.
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