LifePoint Health has an opportunity for a Sr. Financial Analyst, Managed Care - Remote. The Sr. Financial Analyst, Managed Care, provides analytics and decision support by translating payer contract rates and terms, patient volume, and utilization trends into actionable insights to facilitate the strategic positioning of revenue, payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize what-if modeling and reporting needs and ensure provision of timely and accurate deliverables.

LifePoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Model hospital, physician, and ancillary managed care contracts using Excel and/or other modeling tools to quantify contractual value. Collaborate with Managed Care leaders to report the financial impact of changes in fee-for-service and value-based contract rates and terms to allow for informed decision-making during negotiations with payers. The Sr. Financial Analyst must understand and translate complex payer contracts and payment methodologies.
• Utilize various Business Intelligence (BI) tools to gather, manipulate, and analyze data to provide insight into payer contract performance.
• Design, develop, and deliver ad hoc reporting and analyses using SQL, Power BI, and other query tools. This may include payer policy quantitative impact analysis, service line volume trends, litigation support, chargemaster optimization, and other analysis as needed.
• Build reporting models requiring an understanding of business processes, reporting needs, and a complex information system. An understanding of relational databases is preferred.
• Review and abstract contract language that significantly impacts hospital reimbursement.
• Summarize reimbursement trends by payor, facility, insurance plan, etc., as needed.
• Update standard managed care reports per their reporting schedule or as needed.
• Assist with training and mentoring of other analytic team members.
• Coordinate with managed care negotiators to identify updates to managed care contracts. Distribute new and updated managed care contracts to impacted stakeholders (internal and external). Research and/or locate missing information related to managed care contracts.
• Regular and reliable attendance.
• Perform other duties as assigned.

Additional Information:

Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.

Access to and/or works with sensitive and/or confidential information.

Exhibit an understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.

SUPERVISORY RESPONSIBILITIES:

Not responsible for supervising employees.

BENEFITS:

At LifePoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.

KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Bachelor’s Degree required (Business, Mathematics, Finance, Information Systems, or other quantitative field of study)

Experience: 3+ years

Minimum overnight travel (up to 10%) by land and/or air