Top 34 Quantitative analyst Jobs in Hickory Nc

Managed Care Analyst
MedOp Solutions —Hickory, NC
- Microsoft Access
- Research
- Mid-level
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10d
Senior Quantitative Analyst - AI Trainer
DataAnnotation —North Carolina
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
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11d
Digital Analyst
Corning —Newton, NC
- $82,051 - $112,821 a year
- Full-time
- 5 years
- Engineering
- ERP systems
- Paid parental leave
- Disability insurance
14d
ERP/SIS Implementation Business Analyst
Lenoir–Rhyne University —Hickory, NC
- Temporary
- ERP systems
- Mid-level
- SQL
Manufacturing Systems Analyst
US Conec, Ltd. —Hickory, NC
- ERP systems
- Mid-level
- SQL
- Health insurance
- Dental insurance
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Cogito Reporting Consultant
ClinDCast LLC —United States
- $65 - $70 an hour
- Full-time
- Remote
- 5 years
- SQL
- Analysis skills
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Cogito Reporting Consultant
ClinDCast LLC —United States
- $65 - $70 an hour
- Full-time
- Remote
- 5 years
- SQL
- Analysis skills
Quick Apply

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Desktop Support Specialist / Information Systems / PRN
Catawba Valley Medical Center —Hickory, NC
Associate degree in Computer Science, or a High School diploma/equivalent with five years in IT technical support or service desk.
7d
Histotechnologist
Charlotte Gastroenterology & Hepatology —Charlotte, NC
EDUCATION*: Associate degree in an applied science or graduate of a certified Histology program or equivalent required. Paid time off (PTO).
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Bachelor’s degree in Computer Science or related field and 2 years of related experience. Actively engaged in the design and implementation of repeatable…

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quantitative analyst jobs near hickory nc

Managed Care Analyst

MedOp Solutions -
Hickory, NC

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Job Details

Temp-to-hire
10 days ago

Qualifications

VLOOKUP function
Appeals
ICD-10
Medical insurance appeals management
Data analysis software

Full Job Description

Managed Care Analyst

Position Summary:
esponsible for supporting managed care operations through contract analysis, reimbursement validation, payer relations, healthcare analytics, contract administration, and operational support. Performs reimbursement analysis, payment variance investigations, contract modeling support, payer policy research, denial analysis, reporting, and assists with payer negotiations and implementation activities. Collaborates with Revenue Cycle, Finance, Decision Support, Provider Enrollment, HIM, Clinical Operations, and physician leadership to improve reimbursement accuracy, contract compliance, operational efficiency, and value-based reimbursement performance.

Education

Required: Associate degree in Business, Finance, Healthcare Administration, Accounting, Health Information Management, or related field; or equivalent combination of education and experience.
Preferred: Bachelor's degree.
Advanced Microsoft Excel skills required, including Pivot Tables, VLOOKUP/XLOOKUP, What-If analysis, conditional formatting and data analysis functions. Experience with Microsoft 365 applications required.
Preferred: Power BI, SQL, Access Database, contract management and modeling software, and healthcare reporting tools.

Experience

2–5 years of experience in managed care, reimbursement analytics, revenue cycle, healthcare finance, decision support, or payer operations.
Knowledge of Medicare, Medicare Advantage, Medicaid, and Commercial reimbursement methodologies, including CMS fee schedules, APC, DRG, physician fee schedule, and prospective payment systems. (working knowledge of ICD-10-CM/PCS, CPT, HCPCS, MS-DRGs, and APCs).
Working knowledge of hospital and professional billing, claim processing, reimbursement methodologies, and payer payment systems.
Experience reviewing contract language, analyzing reimbursement variances, identifying underpayments and overpayments, monitoring payer trends, researching denials, and supporting appeal preparation.
Preferred: Familiarity with payer grievance processes, CMS complaint processes, Department of Insurance (DOI) complaints, and regulatory payer issue resolution.

Job Specific Performance Expectations

Perform reimbursement validation, payment variance analysis, contract compliance reviews, and payment integrity investigations.
Research reimbursement discrepancies, underpayments, overpayments, denials, and payer policy issues; assist with appeal preparation, submission, and tracking.
Maintain payer contract database, reimbursement methodologies, fee schedules, contract amendments, and renewal tracking.
Assist with financial modeling, reimbursement analysis, contract comparison, and financial impact assessments for new agreements, renewals, and amendments.
Develop, maintain, and distribute payer performance dashboards, reimbursement reports, and operational analytics.
Monitor payer bulletins, policy updates, reimbursement changes, and regulatory communications; communicate operational impacts to affected departments.
Collaborate with Revenue Cycle, HIM, Decision Support, Utilization Review, Case Management, Provider Enrollment, Compliance, Finance, and Clinical Operations.
Coordinate payer meetings, prepare meeting materials, document action items, and follow up on operational issues.
Assist with provider communication regarding payer requirements, reimbursement changes, operational updates, and contract implementation activities.
Maintain contract management software, payer files, departmental documentation, reimbursement references, and operational tracking logs.
Participate in process improvement, revenue optimization, workflow redesign, and automation initiatives.
Crosstrain to provide backup support for Provider Enrollment, contract administration, and other departmental functions as needed.
Complete special projects assigned by the Director of Managed Care.

Core Competencies

Analytical Thinking
Financial Analysis
Problem Solving
Communication
Collaboration
Attention to Detail
Organization & Time Management
Accountability
Adaptability
Confidentiality
Continuous Improvement

Work Environment:
This is a fully on-site position based in Hickory, NC.

#BCIND

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Refine Your Search

quantitative analyst jobs in hickory nc

Managed Care Analyst

Senior Quantitative Analyst - AI Trainer

Digital Analyst

ERP/SIS Implementation Business Analyst

Manufacturing Systems Analyst

Cogito Reporting Consultant

Cogito Reporting Consultant

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