Managed Care Financial Specialist

Overview

Responsible for the reviewing and validating over and under payments identified within EPIC contract management system as it relates to Managed Care and commercial payor accounts. The specialist is involved with the data gathering, financial modeling and creating ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports will be used for the contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision-making process.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .

EOE

Licensure

EPIC Certification in Area of Responsibility Preferred

Education

Bachelor's Degree Finance Or Business Administration With College Courses Accounting Required - And Medical Terminology Preferred

Experience

2 Years Accounting / Finance - Collections And 1 Year Accounting / Finance - Third Party Payors And 2 Years Healthcare Required - And Managed Care Contracting And Medical Insurance Plans Preferred