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Sr. Managed Care Analyst

Community Health System

Fresno, CA

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JOB DETAILS
LOCATION
Fresno, CA
POSTED
6 days ago

Overview

Opportunities for you! 

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 
  • Eligible for annual incentive program 
  • Community University leadership training courses 
  • Tuition reimbursement, education programs and scholarships 
  • Vacation time starts building on Day 1, and builds with your seniority 
  • Free money toward retirement with a 403(b) and matching contributions 
  • Free parking and electric charging 

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities

The Senior Managed Care Analyst is responsible for the development and execution of data driven strategies and is accountable for the successful achievement of decision support objectives in the areas of contract modeling, financial/service line/volume analysis, data, and system integrity. Produce timely and accurate analysis based on clinical and financial knowledge in healthcare to maximize reimbursement and achieve strategic advantages in contract negotiations. Develop and maintain contract modeling in applicable software including building service type definitions, rate schedules, stop-loss, and other contract negotiated rates. Coordinate mapping of benefit plans. Provide education to analysts and other CHS stakeholders in contract language and identify issues for operational changes within processes to improve the management of resources and to make sound financial decisions. Participate in project teams and special assignments to support decision making processes throughout the organization. 

 

Qualifications

Education

  • High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
  • Bachelor's Degree in Business or Healthcare Administration required
  • 10 years of experience in contract modeling, contract analysis, healthcare billing process, and 2 years of experience in the healthcare insurance industry may be substituted for Bachelor's Degree and experience requirements

Experience

  • 3 years of experience in contract modeling or healthcare analytics required
  • 5 years of experience in contract analysis required

 

Licenses and Certifications

  • EPIC - Epic Certification preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

About the Company

C

Community Health System

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).

As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.chs.net/