Managed Care Ops Analyst

Role:

This position is part of the Managed Care team in the Global Business Services (GBS). The Managed Care Operations Analyst supports managed care contract operations and compliance activities to ensure accurate reimbursement and adherence to payor agreements. This role is responsible for operational contract administration, fee schedule maintenance, policy documentation, and analytic support, providing insight and escalation support to managed care leadership.

Responsibilities:

• Review managed care contracts to support alignment with organizational standards, regulatory requirements, and approved contract language frameworks.
• Maintains the contact repository database, ensuring all information is accurate and timelines are adhered to following execution. Internal liaison for database updates, modifications and training for contracting staff.Track and document contract terms and conditions and payer policies by conducting research and prepa...