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Description

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Summary:

The Managed Care Coordinator (analyst) supports UNC Health’s network strategy by developing, maintaining, and analyzing physician contract models and performing ad hoc system (hospital and physician) analysis. This role provides actionable insights that guide negotiations, optimize reimbursement structures, and ensure alignment with organizational financial and strategic goals.

Responsibilities:

1. **Physician Contract Modeling -** Analyze contract terms, fee schedules, and payment methodologies to forecast financial impact and identify risks or opportunities. Model alternative contract scenarios to support negotiation strategy and evaluate proposed payer terms. Ensure accuracy, consistency, and integrity of all modeling inputs and outputs.

2. **Financial & Operational Analysis -** Conduct detailed utilization, cost, and revenue analyses to support decision‑making across the enterprise. Perform variance analysis and root‑cause investigation for reimbursement changes or unexpected financial outcomes. Support annual budgeting and forecasting processes with contract‑related insights. Respond to ad hoc analytical requests from Managed Care leadership, Finance, and operational partners. Extract, validate, and reconcile data from multiple internal systems with various tools (e.g., Epic, Strata, Business Objects, Denodo, Tableau).

Other Information

Other information:

Education Requirements:

+ Bachelor’s degree in relevant field

Licensure/Certification Requirements:

+ No licensure or certification required.

Professional Experience Requirements:

+ If Bachelor's degree, requires two (2) years of experience with managed care contracts and provider relations.

+ If Associate’s degree, requires six (6) years of experience with managed care contracts and provider relations.

+ If High School diploma or GED, requires ten (10) years of experience with managed care contracts and provider relations.

+ If Master’s degree, requires zero (0) year of experience

Knowledge/Skills/and Abilities Requirements:

+ **Experience with physician or hospital contract modeling in a payer or provider environment**

+ **Familiarity with CPT/HCPCS coding and common payment methodologies.**

+ **Knowledge of UNC Health systems, payer relationships, or North Carolina healthcare market dynamics.**

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Managed Care

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $28.87 - $41.50 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Remote

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.