Healthcare Outcomes Performance Co. (HOPCo)

Managed Care Contracting Analyst - Remote

REMOTEPosted 20 days ago

Job summary

  • Job post source

    This job is directly from Healthcare Outcomes Performance Co. (HOPCo)

  • Job overview

    The Managed Care Contracting Analyst role at HOPCo involves analyzing financial and operational performance of healthcare contracts to optimize reimbursement and cost management.

  • Responsibilities and impact

    The analyst prepares financial and operational analyses of healthcare contracts, monitors reimbursement trends, creates financial models and reports, supports management with data, identifies cost-driving utilization patterns, reviews claims and settlements, liaises between health plans and revenue cycle, and collaborates with contracting departments to optimize payor reimbursement.

  • Experience and skills

    Requires at least three years in healthcare analytics with knowledge of physician reimbursement, relational databases, and decision support systems, plus two years in Revenue Cycle Billing; skills in communication, organization, and independent judgment are essential.

  • Work environment and culture

    The role operates in a normal office environment emphasizing safety training and organizational compliance.

  • Company information

    Healthcare Outcomes Performance Co. (HOPCo) specializes in healthcare financial and operational performance analysis and optimization.

  • Job location and travel

    Remote position with typical office environment conditions and some physical activity like bending and stretching.

  • Unique job features

    The role involves unique responsibilities such as creating financial models, managing shared risk claims, and serving as a liaison between health plans and revenue cycle departments.

Company overview

Healthcare Outcomes Performance Co. (HOPCo) specializes in transforming musculoskeletal care through innovative solutions that improve clinical outcomes and operational efficiencies. They generate revenue by partnering with healthcare providers, payers, and health systems to implement value-based care models, data analytics, and performance improvement programs. Founded with a mission to enhance patient outcomes and reduce costs, HOPCo has a history of leveraging technology and expertise to drive significant improvements in healthcare delivery.

How to land this job

  • Position your resume to highlight your experience in healthcare contract financial and operational analysis, emphasizing your ability to assess Medicaid and Managed Care products like HMO, PPO, and POS.

  • Showcase your skills in creating financial models, analyzing payor reimbursement trends, and handling denial analysis, which are critical for this role at HOPCo.

  • Apply through multiple platforms including Healthcare Outcomes Performance Co.'s official corporate careers page and LinkedIn to maximize your application visibility.

  • Connect on LinkedIn with professionals in the Managed Care or Contracting divisions at HOPCo; open conversations by referencing recent industry changes, asking about their experience with Medicaid product analysis, or inquiring about team priorities in payor reimbursement optimization.

  • Optimize your resume for ATS by incorporating keywords such as 'Managed Care', 'payor reimbursement', 'financial modeling', 'Medicaid', 'denial analysis', and 'revenue cycle billing' to ensure it passes automated screenings.

  • Leverage Jennie Johnson's Power Apply feature to automate applying through multiple channels, tailor your resume with relevant keywords, and identify LinkedIn contacts to network with, saving you time and increasing your chances of landing the Managed Care Contracting Analyst position.

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