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Managed Care Contract Analyst

2 months ago

Alhambra, California, United States AHMC Healthcare Full time
Job Summary

We are seeking a skilled Pricing Model Specialist to join our team at AHMC Healthcare. As a key member of our Managed Care Contracting department, you will play a critical role in developing pricing models for proposals and providing consultation, analysis, and guidance to create pricing solutions that maximize profit.

Key Responsibilities
  • Develop pricing models for proposals within the company for multiple types of contracts, including health plans, hospitals, and ancillary services.
  • Analyze data from multiple sources and integrate it into interactive pricing models, including financial and claims data.
  • Provide consultation, analysis, and guidance to create pricing solutions that maximize profit.
  • Assist with building, testing, and maintenance of various monitoring dashboards.
  • Proactively identify issues and inconsistencies, as well as potential risks, and present findings to internal clients.
  • Work with contract leads to identify revenue optimization or unit cost savings opportunities.
  • Assist in the design, development, and implementation of advanced ad hoc reports.
  • Assist in identifying and documenting reporting requirements, extracting and manipulating data from databases, and performing acceptance and QA testing.
Qualifications
  • Bachelor's degree or equivalent education and experience in business, finance, economics, mathematics, or a related field.
  • Must be PC proficient.
  • Must have strong experience with MS Office tools and be capable of learning web-based modeling applications.