…apply to this exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract

…plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in

… care management programs, including utilization review, discharge planning, and managed care contracting. + **Data Evaluation:** Assess patient care

…clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for

…cash management, charge entry, etc. Ensure practice alignment with all standards. + Managed Care /Payer Management: Support implementation of managed care

… Care - advanced (ACCC) preferred. + Knowledge of Medicare, Medicaid, and managed care regulations and trends + Experience with utilization management, home

…and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment. + Develops

…budget for associate health services * Acts as a liaison with benefit plans, health care providers, and managed care organizations and works in collaboration

…emergencies + Collaborate closely with Certified Nurse Midwives (CNMs) in a heavily co- managed care model. + Engage in innovative practices to enhance patient

…healthcare management experience. Previous management experience in a union environment. Prior managed care or integrated delivery systems experience. + Master's