Top 8 sr. managed care analyst Jobs in clovis, ca

Sr. Managed Care Analyst
Community Health System —Fresno, CA
- $43.72 - $56.84 an hour
- 8 hour shift
- High school diploma or GED
- Analysis skills
- Bachelor's degree
- Free parking
- 403(b) matching
Claims Analyst
INNOVATIVE INTEGRATED HEALTH —Fresno, CA
- $21 - $29 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Ability to lift 50 pounds
- Health savings account
- Health insurance
Epic Tapestry Membership Sr. Analyst
Deloitte —Fresno, CA
- $80,000 - $110,000 a year
- Full-time
- Microsoft Excel
- 5 years
- HIPAA
Manager, Payer Contracts (up to $173k+bonus)
FocusPoint —United States
- $107,952 - $172,723 a year
- Full-time
- Background check
- 7 years
- Microsoft Excel
- Relocation assistance
- Health insurance
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Senior Project Management Analyst (Aetna Dental/Vision)
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sr. managed care analyst jobs near clovis, ca

Sr. Managed Care Analyst

Community Health System -
Fresno, CA

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Job Details

Full-time
$43.72 - $56.84 an hour

Benefits

Free parking
403(b) matching
Tuition reimbursement
Leadership training provided

Qualifications

Contract documentation review
Contract review
Contract interpretation

Full Job Description

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.

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sr. managed care analyst jobs in clovis, ca

Sr. Managed Care Analyst

Claims Analyst

Epic Tapestry Membership Sr. Analyst

Manager, Payer Contracts (up to $173k+bonus)

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