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Managed Care Analyst Jobs (NOW HIRING)

Sutter Health

Managed Care Analyst II

Sacramento, CA · On-site

$38.55 - $57.83/hr

Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures. * Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal ...

Sutter Health

Managed Care Analyst II

Sacramento, CA · On-site

$38.55 - $57.83/hr

Knowledge of financial modeling and financial analysis principles, methods, practices, and procedures. * Knowledge of managed care payment/reimbursement methodologies (e.g., Medicaid/Medi-Cal ...

Sutter Health

Managed Care Analyst 2

Sacramento, CA · On-site

$38.55 - $57.83/hr

In addition, this position will support Manager Care leaders with managing negotiation documents, making edits, providing overlay comparisons of proposal documents and resolving issues with Payers ...

Sutter Health

Managed Care Analyst 2

Sacramento, CA · On-site

$38.55 - $57.83/hr

In addition, this position will support Manager Care leaders with managing negotiation documents, making edits, providing overlay comparisons of proposal documents and resolving issues with Payers ...

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Managed Care Analyst information

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$73.3K

$130K

How much do managed care analyst jobs pay per year?

As of Aug 13, 2026, the average yearly pay for managed care analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What does a managed care analyst do?

A Managed Care Analyst evaluates healthcare data, insurance claims, and provider contracts to improve cost efficiency and operational performance. They analyze trends, create reports, and ensure compliance with regulations to optimize managed care programs. Their role involves working with healthcare providers, insurers, and internal teams to support data-driven decision-making.

What are typical challenges faced by managed care analysts?

Managed Care Analysts often encounter challenges such as interpreting large volumes of complex healthcare data, keeping up with rapidly changing regulations, and ensuring data accuracy across multiple systems. Analysts must also bridge gaps between clinical and financial teams to translate analytics into actionable recommendations. Navigating these challenges requires strong technical skills and close collaboration with various stakeholders, making the work dynamic and highly impactful in improving healthcare efficiency and outcomes.

What skills and qualifications are needed to be a managed care analyst?

To thrive as a Managed Care Analyst, you need strong analytical skills, expertise in healthcare data, and a background in health economics or a related field, often supported by a relevant bachelor’s degree. Familiarity with data analysis tools like Excel, SQL, and claims processing systems, as well as knowledge of healthcare regulations, is highly beneficial. Excellent communication, problem-solving abilities, and attention to detail help analysts interpret complex data and work effectively across multidisciplinary teams. These skills and qualifications are vital for ensuring accurate analysis, supporting sound decision-making, and optimizing managed care strategies for healthcare organizations.

More about Managed Care Analyst jobs
What cities are hiring for Managed Care Analyst jobs? Cities with the most Managed Care Analyst job openings:
What are the most commonly searched types of Managed Care Analyst jobs? The most popular types of Managed Care Analyst jobs are:
What states have the most Managed Care Analyst jobs? States with the most job openings for Managed Care Analyst jobs include:
What job categories do people searching Managed Care Analyst jobs look for? The top searched job categories for Managed Care Analyst jobs are:
Managed Care Analyst jobs near you
Infographic showing various Managed Care Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Managed Care Analyst

Family HealthCare Network

Visalia, CA • On-site

Full-time

Re-posted 15 days ago

Family HealthCare Network rating

8.2

Company rating: 8.2 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description


Primary Accountability
The Managed Care Analyst is responsible for using health plan data to validate, contrast, and track opportunities for revenue growth and compiling external and internal data reports to ensure compliance and efficiency.
Description of Primary Responsibilities
  1. Responsible for producing, validating, and interpreting data for health plan membership and capitation reports and developing internal status reports to meet organizational revenue goals.
    1. Defines data requirements and develops data collection and analysis tools for payer-specific identities.
    2. Performs data validation to ensure integrity of reporting.
    3. Identifies, investigates, and reports discrepancies in the data or workflows.
    4. Maintains a work plan for post-production reports and presentations.
    5. Produces monthly reports on payer revenue.
    6. Maintains Compliance Data Base for all Health Plans and special projects.
  2. Uses collected data to evaluate the profitability of payer relationships for all lines of business:
    1. Medicare and Medicare Advantage Five Star Performance.
    2. Medi-Cal Managed Care Health Plan Audit/Compliance and Incentives.
    3. Commercial Health Plans P4P and HEDIS Performance.
    4. Health plan contract modeling
  3. Analyze utilization data such as PCP visits, ER visits, hospital admissions, and bed days and identify opportunities to control utilization.
  4. Assists data analysis efforts of other FHCN staff and departments as needed.
  5. Responsible for assessing the effectiveness of internal workflow impact on health plan revenue streams and ensuring current organizational policies follow existing contract terms.
  6. Responsible for adhering to the Attendance and Absenteeism Policy, recognizing that regular attendance is considered an essential function of all FHCN positions. Absenteeism is not being at work or failing to attend a paid workshop, training, or event unless the absence is protected by law.
  7. Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
  8. Other duties as assigned.

Description of Primary Attributes
General Development:
  1. Possesses basic organizational skills, typically to organize own work.
  2. Works independently and as part of a team.
  3. Job responsibilities require individual development of priorities for effective performance of duties, including re-prioritization in response to changes in circumstances.
  4. Can effectively select from both established alternatives and modify approaches in response to situations encountered.
  5. Duties require drawing conclusions using inference and logic, which may differ from the conclusions others could draw.
  6. Consider how work affects other employees outside the department or functional area.

Professional & Technical Knowledge:
Effective June 1, 2026, all individuals hired into the role must:
  1. Possesses proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems frequently acquired through one of the following:
    1. Required completion of an Associate's Degree program with a recognized major and a minimum cumulative GPA of 2.5; or
    2. A combination of relevant experience and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
    3. If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or associate's degree.
  2. Have a minimum of two years of relevant experience, including experience in healthcare, preferably in a managed care environment.
  3. Have a minimum of two years of experience in data analysis and/or financial modeling.
  4. Demonstrate strong analytical and problem-solving skills.

Technical Skills:
  1. Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.
  2. Ability to use Advanced Microsoft Excel to analyze data, including formulas, functions, lookup tables, and other standard spreadsheet elements.
  3. Ability to develop sophisticated presentations in Microsoft PowerPoint, including embedded objects, transitions, and other elements.

Licenses & Certifications: None required.
Communications Skills:
  1. Job duties require employees to effectively communicate their opinions and extrapolations of information they collect, synthesize/analyze.
  2. Exercises tact and diplomacy to resolve mild conflicts or disagreements.
  3. Compiles, analyzes and prepares information in an effective written form, including correspondence, reports, articles, or other documentation.
  4. Effectively conveys technical information to non-technical audiences.

Physical Demands: The physical demands here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Pay Scale:
Min: $69,807.05
Max: $111,691.28

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