Highlights
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets.
Numbers & Facts
| Location | PA |
| Industry | Healthcare Services |
| Company Size | 1,000 to 1,499 employees |
| Year Founded | 1996 |
| Website | https://www.highmark.com/hmk2/index.shtml |
Description
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Associate Managed Care Analyst
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Associate Managed Care Analyst
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PA, Working at Home - Pennsylvania
Company :
Allegheny Health Network
Job Description :
GENERAL OVERVIEW:
This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error to the payor.
ESSENTIAL RESPONSIBILITIES
- Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
- Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
- Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
- Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
- Perform other duties as assigned or required.
QUALIFICATIONS:
Minimum
- Associate"s degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Experience in finance, contracting, or data analysis
- Microsoft Office (Excel, PowerPoint, etc.)
- Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
- Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance
- Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
- Strong oral and written communication skills
- Ability to independently make progress on key projects with support from supervisor or peer analysts
Preferred
- Bachelor"s degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Epic Expected Reimbursement Contracts Certification
- Experience with hospital, physician, and ASC contracts
- Experience in healthcare
- R, Python, or other statistical/programming tools
- Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
- Clinical background or general understanding of hospital/physician practice operations
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$34.29
Pay Range Maximum:
$54.25
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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Job Details
- Job category Legal
- Position Type Full Time
- Posted 06/26/2026
- Location(s) PA, Working at Home - Pennsylvania
- Line of Business
- Entity
- Recruiter
- Hiring Manager
- Experience Level
- Job Family Contract Law-AHN
- Req ID J283585
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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.
2026 Highmark Health. All Rights Reserved.
About Company
Highmark provides millions of people with the security of quality health insurance
Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.
Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.
Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.