
Managed Care Systems Analyst
Welcome to Prisma Health, where our mission is to provide exceptional, compassionate healthcare to our community. We are currently seeking a highly skilled Managed Care Systems Analyst to join our team. In this role, you will play a crucial role in analyzing and optimizing our managed care systems, ensuring efficient and effective operations. As a member of our team, you will have the opportunity to make a significant impact on the delivery of healthcare services to our patients. We are looking for individuals who are driven, detail-oriented, and have a strong understanding of managed care systems. If you are passionate about improving healthcare processes and have the necessary qualifications, we would love to hear from you.
- Analyze managed care systems to identify areas for improvement and optimization.
- Develop and implement strategies to improve the efficiency and effectiveness of managed care systems.
- Monitor and evaluate the performance of managed care systems to ensure they are meeting organizational goals and objectives.
- Collaborate with cross-functional teams to implement changes and enhancements to managed care systems.
- Provide technical support and assistance to end-users regarding managed care systems.
- Conduct training sessions to educate end-users on new or updated managed care systems.
- Stay updated on industry trends and best practices in managed care systems.
- Develop and maintain documentation of managed care system processes and procedures.
- Troubleshoot and resolve issues related to managed care systems.
- Communicate with external stakeholders, such as insurance providers, to ensure smooth operations of managed care systems.
- Participate in meetings and discussions to provide insights and recommendations for improving managed care systems.
- Collaborate with IT teams to ensure the integration and compatibility of managed care systems with other organizational systems.
- Adhere to all privacy and security protocols in managing and analyzing sensitive healthcare data.
- Maintain a high level of professionalism and confidentiality while handling sensitive information.
- Uphold the mission and values of Prisma Health in all aspects of work.
Bachelor's Degree In Healthcare Administration, Information Technology, Or A Related Field.
Minimum Of 3-5 Years Of Experience In Healthcare Operations Or It, Preferably In A Managed Care Environment.
Knowledge Of Managed Care Principles, Including Utilization Management, Claims Processing, And Provider Network Management.
Proficiency In Data Analysis And Reporting, With Experience Using Sql, Tableau, Or Other Analytics Tools.
Strong Communication And Interpersonal Skills, With The Ability To Collaborate With Cross-Functional Teams And Present Findings To Stakeholders.
Quality Assurance
Process Improvement
Project Management
Data Analysis
Claims Processing
Report development
Data Mining
Risk assessment
Stakeholder management
Performance
System integration
Healthcare Regulations
Communication
Conflict Resolution
Customer Service
Leadership
Time management
creativity
Attention to detail
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Managed Care Systems Analyst in Greenville, SC, USA is between $60,000 to $90,000 per year. The exact salary may vary depending on the specific job responsibilities, level of experience, and the employer. Additionally, factors such as education, certifications, and location can also affect the salary range for this position.
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Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. 32,000 team members are dedicated to supporting the health and well-being of people.

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