Managed Care Analyst II Revenue Analytics Telecommuting Note: Remote not

Posting

Note:

Remote not available in all states.

• Perform financial modeling of contracted rates, develop what‑if scenarios, assess revenue and contribution margin per service line, and lead rate proposal negotiations.
• Build and maintain the EPSI contract module, load new contracts accurately, verify data integrity, prepare required reports, and resolve configuration issues.
• Monitor contract performance by payer, product line, and DRG, audit back‑end services, develop queries and reports, and recommend reimbursement optimization.
• Prepare and distribute standard and ad‑hoc reports from EPSI and the Phoenix Children’s Warehouse using MS Access, Excel, Crystal Reports, and other tools, and introduce new metrics and KPIs.
• Conduct variance studies, reconcile modeled reimbursement variances, analyze revenue variances by payer, and investigate under/over‑payment issues with contracting and patient financial services.
• Optimize managed‑care tools through design, testing, upgrades, and support, maintain department databases, and track analytics from internal and external sources.

Mission
To advance hope, healing and the best healthcare for children and their families

Vision
Phoenix Children’s will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties.
• Investing in innovative research, including emerging treatments, tools and technologies.
• Advancing education and training to shape the next generation of clinical leaders.
• Advocating for the health and well‑being of children and families.

Values

• We place children and families at the center of all we do.
• We deliver exceptional care, every day and in every way.
• We collaborate with colleagues, partners and communities to amplify our impact.
• We set the standards of pediatric healthcare today, and innovate for the future.
• We are accountable for making the highest quality care accessible and affordable.

• Bachelor’s Degree in Business Administration, Accounting, Finance, Information Systems or related field OR 5 years relevant experience in a hospital or managed care payer setting.

• Three years of experience in health care financial systems within a hospital or health plan/insurance environment.
• Experience with managed care principals, business models, hospital and professional coding, reimbursement and financial terms such as DRG, CPT, ICD‑9/10 and HCPCS codes and standard reimbursement payment methods.
• Experience with database concepts and MS Access.
• Experience with business intelligence and performance management tools such as Crystal Reports or SQL Visual Studio.

• Proficient in MS Excel with advanced pivot functionality, statistical models, and advanced formulas.
• Experience with health services billing procedures (hospital and professional) and reimbursement methodologies.
• Experience with Misys, Eclipsys AMPFM, EPSI PLA and Contract Module or other decision support, contract modeling and financial reporting systems.

• Climbing – Occasionally
• Feeling (sensing textures and temperatures) – Occasionally
• Fine Motor Skills (pinching, gripping, etc) – Occasionally
• Hearing – Constantly
• Pushing/pulling – Occasionally
• Reaching – Occasionally
• Sitting – Frequently
• Standing – Frequently
• Stooping/crouchingneeling/crawling – Occasionally
• Talking – Constantly
• Tasting/smelling – Frequently
• Walking – Frequently
• Near Vision – Constantly
• Far Vision – Frequently
• Color Discrimination – Occasionally
• Use of keyboard, mouse and/or computer equipment – Constantly
• Lift up to 35 pounds without assistance – Occasionally
• Lift more than 35 pounds without assistance – Occasionally