Community Hospital Corporation
Managed Care Analyst, Hospital Operations
Plano, Texas, United States
Sponsorship not specifiedDetected 27 days ago
SQLComplianceExcelContract ManagementHIPAAEpicCernerEHR/EMRWriting
About the role
- This position sits at the intersection of healthcare finance, insurance claims operations, and legal contract management.
- This is an exciting onsite role at our beautiful corporate offices located in Plano between Legacy West and Grandscape.
- The position will report directly to the Vice President of Health Plan Contracting.
Responsibilities
- Collaborate with the revenue cycle team to resolve complex claims issues and resubmit corrected claims or appeals.
- Work in multiple systems for the hospital and clinic settings to provide the support requires the understanding of each facility's financial data points.
- This individual is also responsible for providing analytical support to the CHC Revenue Cycle Team and the CHC affiliated facilities to analyze the patient account receivables (A/R).
Nice to have
- Intermediate level user of Excel and/or Google Sheets SQL Report Writing Skills preferred
Benefits
- Community Hospital Corporation (CHC), recently recognized as a 2026 Dallas Morning News Top Workplaces and named to Becker's list of 165 Top Places to Work in Healthcare.
- Health Plan Contracting Review health plan contracts and identify desired contract modifications in accordance with CHC contract criteria.
- Interact with client hospitals and health plan representatives to ensure claims payment accuracy.
- Revenue Cycle Analysis Identify, investigate, and audit claims variances where actual payer reimbursement does not match the expected contractual amount.
- General Duties Upholds and supports the company's mission, vision, and values Perform other miscellaneous job-related duties as assigned by the Vice President of Health Plan Contracting.
- Education BBA or BS Degree Experience Three - Five or more years experience in healthcare financial operations.
Equal opportunity
- We are an equal opportunity employer and value diversity at our company.
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This listing is sourced directly from Community Hospital Corporation's careers page and normalized into a canonical job model.