Managed Care Analyst
Mosaic Life Care
IT
St Joseph, MO, USA
USD 68,182.4-102,273.6 / year
Posted on Jan 9, 2026
Details
- Managed Care Analyst
- Manage Care
- Full Time Status
- Day Shift
- Pay: $68,182.40 - $102,273.60 / year
- This position works under the direction of the Director- Managed Care. Accountable for the evaluation, negotiation, administration and communication regarding commercial, governmental and direct employer agreements. This position is also responsible for net revenue analysis, rate negotiations, and monitoring of contract performance through periodic evaluation and audits of contract payments. This position is employed by Mosaic Health System.
- Evaluates reimbursement methodologies, language and payor policy to determine financial impact to the organization under the direction of management.
- Participate in contract discussions regarding language and reimbursement to meet the overall needs of the organization
- Develop reliable financial models to estimate reimbursement and policy changes on the finances of the organization.
- Understand and analyze the key drivers for denial management under the direction of management.
- Develop relationships with key health plans. Participate in discussions re: contracting needs, contract interpretation, claims/denials issues and how to improve the overall relationship.
- BS degree in accounting, finance, or related field, from an accredited college or university or equivalent work experience.
- Prior experience and knowledge in negotiating contractual and financial terms for managed care agreements, preferred. Prior experience and knowledge in the use of software packages such as Microsoft Excel, Word, Access, and Windows. Three years healthcare or related experience in financial analysis required.
