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Manager, Managed Care Analytics

Requisition ID
2025-46759
Category
Professional
Shift Type
Full-Time
Shift
8 Hour
Shift Schedule
Days
Facility
Community Medical Centers - Corporate Offices (CMC)
Location
US-CA-Fresno
Posted Date
8/12/2025
Min
USD $57.90/Hr.
Max
USD $75.27/Hr.

Overview

*All positions are located in Fresno/Clovis CA*

 

Humanity, Excellence, Ingenuity, Duty; we stand for these values at Community. Consistently recognized for excellence in patient and employee care, we are the region’s largest healthcare provider and private employer. We exist to better the lives of all those we serve by offering customers access through our hospitals, our health insurance, and our physician offices – all under one home that is Community Health System.

 

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 begins with taking care of our incredible teams.

 

Want to learn more? Click here. Benefits & Total Rewards | Community Health System Careers 

Responsibilities

As the largest healthcare system in the Central Valley, Community offers the opportunity to lead meaningful, data-driven improvements in care and operations. As Manager of Managed Care Analytics, you’ll play a pivotal role in turning complex payer data into insights that inform contract strategy, optimize reimbursement, and improve performance across departments.

  • Lead a team of analysts to develop, validate, and refine models supporting payer contract negotiations and implementation.
  • Oversee accurate interpretation and loading of payer contracts into the Electronic Health Record (EHR) and modeling systems.
  • Serve as a strategic advisor to senior leadership through reporting on payment rates, denial trends, and contract compliance.
  • Partner with Finance, Patient Financial Services, and Managed Care to evaluate service line performance and assess reimbursement impact of new services and programs.

This is a high-impact role that brings together analytics, strategy, and healthcare finance — offering the opportunity to shape decisions at one of California’s most dynamic healthcare systems!

 

Qualifications

  • Bachelor's Degree in Accounting, Finance, Business Administration, Health Administration, Statistics or a related field required
    • In lieu of a bachelor’s degree, 15 or more years of progressive experience in Revenue Cycle may be considered
  • 7 years of progressive experience in healthcare analytics, managed care contracting, revenue cycle, or related fields required
  • 3 years in a supervisory or management role, with demonstrated experience leading analyst teams and driving cross-functional collaboration required
  • Strong background in payer contract analysis, reimbursement methodologies, and healthcare data systems (e.g., EHRs, contract modeling platforms, BI tools) required

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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