The purpose of this position is to support the activities of the Network Management department for all MemorialCare Medical Foundation provider networks. The position is expected to assemble financial data for routine reports in preparation of contract and network analysis using claims and authorization data as well as develop and maintain various databases and spreadsheet reports to ensure that provider contracts and provider networks meet established financial performance requirements. Attain technical competency with: (1) various computer applications and data sources (patient billing, cost accounting, accounting, budgeting) to extract data timely and accurately, and with (2) various PC software (Microsoft Office suite, etc.) to manipulate data.
Previous experience in Managed Care, Provider Network analysis and contract
Intermediate competency of MS Office Suite specifically Excel.
Must have strong numeric and analytical skills.
Superior critical thinking skills for complex problem-solving.
Must be well-organized and able to work independently, have good interpersonal
relationships and strong communication skills.
Understanding of managed care principles, including claims, billing and provider
Bachelor's degree in Finance, Health Administration or related major, preferred
Internal Number: MEM003825
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.