Managed Care Analyst

Job Summary

A company is looking for a Managed Care Analyst/Contract Analyst.

Key Responsibilities

• Program managed care, Medicaid, and Medicare rates and contracts into the pricing system for accurate claims pricing
• Build and update rate-based calculators for Medicare and managed care contracts
• Maintain a database of contracts and fee schedules, ensuring timely updates and revisions

Required Qualifications

• Intermediate knowledge of Excel and comfort with pricing programming
• Working knowledge of medical coding terms (DRG, CPT/HCPCS, revenue codes)
• Knowledge of NJ Medicaid and CMS/Medicare is preferred