Managed Care Analyst (Payer Relations)

Requisition ID: 2025-51508

Location: US--

Position Type: Full Time

Responsibilities

This high-impact role will be responsible for a variety of Managed Care data analytical functions, including complex models, analytics, forecasts, budgets risk assessments, and executive reporting. The incumbent is expected to contribute as a thought leader to influence the Managed Care team, as part of a fast paced and high growth environment.

• Drive value across the Managed Care team by building complex reimbursement models, analyses, and reports.
• Analyze historical rates to identify issues and opportunities; research and resolve reimbursement inquiries.
• Retrieve and compile claims data to appropriately report on reimbursement and contracting trends.
• Contribute to the Managed Care budget process, including coordination of resources, ensuring data integrity, and developing budget reports for presentation to the Managed Care team.
• Continuous improvement of Managed Care modeling, reporting, and budgeting processes.
• Support strategic planning initiatives and communicate the impact of financial and strategic analyses to Managed Care leadership.
• Leverage advanced Excel skills to manage and analyze large data sets while handling multiple projects across the Managed Care team.

Qualifications

Education/Experience

• Undergraduate degree in business, engineering, or other analytical field; advanced degree preferred but not required
• 4-7 years of related experience; healthcare experience strongly preferred.

Knowledge/Skills

• Complex project management skills
• Strong customer service focus

Software

• Advanced MS Excel skills
• Familiarity with multiple software packages/Business Intelligence software, specifically Microsoft and Microsoft SQL Server Management Studio

Benefits and Compensation

Take great care of the patient, every day and every way.™ At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.

About Us

Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality‑improvement and safety initiatives.

Pediatrix is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.