Managed Care Analyst - Capitation Revenue

%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ETitle:%3C/strong%3E Managed Care Analyst - Capitation Revenue%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ELocation:%3C/strong%3E Fountain Valley, CA / Predominately Remote (Must be located in CA)%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EDepartment:%3C/strong%3E Managed Care%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EStatus:%3C/strong%3E Full-Time%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EShift: Days (8hr)%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EPay Range*: %2441.09/hr - %2451.56/hr%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare%27s recognition as a market leader and innovator in value-based and other care models.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAcross our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.%26nbsp;Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EPosition Summary%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EThe Managed Care Analyst advances MemorialCare’s Managed Care Contracting and Operational strategies through financial analysis, contract modeling, and advisory support. This role reports to the Manager of Managed Care Analytics and sits at the system level supporting all MHS entities: Hospitals, Foundation, IPA and Health Plan.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EThe position supports the Managed Care strategy by assembling and analyzing financial data for routine reports. Sources include but are not limited to: Snowflake, payor capitation data, cost accounting system data, GL, budgeting and patient billing data.%3C/span%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EAdditionally, the Managed Care Analyst will evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EThe Analyst will attain competency with: (1) Snowflake (2) SQL (3) Accounting systems (4) EPIC to analyze data and trends.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEssential Functions and Responsibilities of the Job%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Col%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EProvide financial analysis and ad hoc reporting to internal stakeholders and leaders.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3ECollaborate with senior team members and cross-functional departments to design and run queries and reports based on external reporting requests, ensuring data integrity, actuaries and timeliness.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EModel specific reimbursement terms to support the Managed Care negotiation team, including MCMF, MHS, and MCSHP.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EDepending on reporting area(s) assigned, some or all of the following:%3C/span%3E%3C/span%3E%3C/p%3E%3Col%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EDevelop and maintain reporting templates to measure performance of health plan trend and yield to proactivity report out on monthly basis.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3ESupport monthly financial close by proactively identifying trends, outliers, requested reports and answering inquiries%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EComplete and distribute monthly reporting packages to internal stakeholders.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ol%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EApplies strong analytical and problem-solving skills to evaluate complex data and business issues, leveraging both conventional and innovative approaches. Ability to work with minimal supervision, and take ownership of assigned analyses, deliverables, and issue resolution.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ol%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3E*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. %3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22background-color:white;color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EHealth and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...%3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3ECheck out our%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3Ca href=%22https://careers.memorialcare.org/benefits%22%3E%3Cspan style=%22color:windowtext;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare Benefits%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3C/a%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3Efor more information about our Benefits and Rewards.%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E %3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EMinimum Requirements%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EQualifications/Work Experience:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3E2 years experience, preferably in Managed Care analytic setting.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EProficient in SQL development and Epic systems, with advanced Excel capabilities, alongside strong command of Microsoft Office tools.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EExtremely organized with strong sense of priority, urgency and commitment to deadlines.%3C/span%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3ESelf-motivated individual able to handle fluctuating volumes of work , able to prioritize to meet deadlines.%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEducation/Licensure/Certification:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EBachelor’s degree in Business, Finance or Healthcare, required%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ul%3E Job Details Primary Location: United States-California-Fountain Valley Work Locations: MCSS-MemorialCare Shared Svcs, 17360 Brookhurst, Fountain Valley, 92708 Job: Managed Care Organization: Memorial Health Services Schedule: Full-time Employee Status: Regular Job Level: Staff Job Posting: Aug 21, 2026, 3:29:31 PM Shift: Day Job Department Name: Managed Care-Shared Services

Requires a bachelor's degree in business, finance, or healthcare; 2 years of experience, preferably in managed care analytics; SQL, Epic, advanced Excel, and Microsoft Office proficiency.

Key Responsibilities

• analyzing finances
• modeling contracts
• developing reports

Skills & Tools

Snowflake, SQL, Epic, Microsoft Excel, Microsoft Office

Job Details

• Category: Finance and Accounting
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — Fountain Valley, California, United States
• Salary: USD 85,467 – 107,244 / year
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Tuition reimbursement
• Retirement plan

About Memorial Health Services

A nonprofit integrated health system providing patient-centered healthcare through hospitals, medical groups, and physicians. — Industry: Healthcare

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