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Manager, Managed Care Analytics/Contract Management
Baylor Scott & White Health
Application
Details
Posted: 17-Apr-25
Location: Dallas, Texas
Categories:
Operations
Internal Number: 25003858
JOB SUMMARY
Hybrid - this role will have finance meetings in Dallas, Tx therefore no 100% remote option available at this time.
The Manager Finance is responsible for managing the annual forecasting/budgeting process, monthly financial variance reporting and other ad-hoc reporting. This role is responsible for the accurate reporting of expenses and operating/net income by entity and line of business.
MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES
Manage team of analysts who perform payer performance analytics and modeling for the System. Modeling would help support contract negotiations, payer performance financial evaluations, underpayments/overpayment analysis, and other payer-related initiatives.
Manage team of Epic-certified analysts who manage, model and maintain government and commercial contract payment terms in Epic. Supports team with payment variance analysis and critical decisions with contract modeling.
Leads the development of policies, guidelines and supporting documentation to address key managed care initiatives for the System in compliance with federal, state and payer regulations. Assists with the education and training of facility personnel, as needed.
Makes decisions and recommendations on critical initiatives related to managed care analytics and contract management, and is able to communicate key insights/outcomes to key stakeholders and an executive audience.
ESSENTIAL FUNCTIONS OF THE ROLE
Manages Financial Advisors to ensure development, implementation and administration of financial policies and practices.
Identifies and provides opportunities for the staff to develop knowledge, skills and abilities needed to contribute to the success of the department.
Prepares, administers, and monitors budget/forecast to maintain financial viability.
Prepares and maintains profit and loss models for budget/forecast and "what-if" study.
Manages day-to-day financial planning operations, collaborates with other teams, to ensure accuracy of data.
Prepares all monthly financial reports and variance investigation.
Provides reports to operations team to assist in adherence to budget. Works with department heads to ensure adherence to budget, identify any gaps and propose solutions to remedy.
Collects necessary supporting statistical information to facilitate monthly journal entries.
Oversees month end analytics and works with accounting team to ensure all monthly journal entries are reported correctly.
Supports accounting team with regulatory audits.
KEY SUCCESS FACTORS
A Bachelor?s degree in Accounting, Finance or Business is required. A Master?s degree (e.g, MS, MBA) or equivalent (e.g., CPA, PE, etc.) is preferred.
Proficient with MS Office applications, SQL, Power Query, Power BI.
Proven leadership, management, data and communication abilities.
Ensures that services are provided in a timely, accurate, effective, and cost-efficient manner and in compliance with established policies, procedures, and practices.
Effectively implements department personnel policies and procedures in conjunction with selection, orientation, training, assignment and staffing, evaluation, discipline, and discharging employees in compliance with applicable employment regulations.
BENEFITS
Our competitive benefits package includes the following
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!