Senior Manager of Managed Care Payer Analytics

Company: UCLA Health
Location: Los Angeles
Posted on: March 31, 2026

Job Description:

Job Description Description UCLA Health is seeking a Senior Manager of Managed Care Payer Analytics to/nadvance the organization’s managed care contracting strategy through expert/nfinancial analysis, contract modeling, and advisory support. Reporting to the/nAssistant Director of Managed Care Contracting, this role evaluates complex/ncommercial and government payer arrangements including Accountable Care/nOrganizations, Centers of Excellence agreements, Medicare Advantage, Medi-Cal,/nhospital, medical group, and ambulatory contracts. This position plays a critical role in strengthening revenue/nperformance and operational efficiency by applying advanced knowledge of/nmanaged care payment structures, EMR-based analytics, and forecasting tools./nThe Senior Managed Care Specialist partners with Finance, Revenue Cycle,/nOperations, and payer representatives to ensure contract accuracy, regulatory/ncompliance, and strategic alignment with UCLA Health’s financial objectives. In this role, you will: /n - Develop/n and maintain advanced financial models to evaluate complex contract/n pricing, risk-sharing provisions, projected utilization, and reimbursement/n methodologies across commercial, Medicare, and Medi-Cal agreements /n - Lead/n EPIC CareConnect contract modeling functions, applying data warehouse/n tools including EPSi and Tableau to validate assumptions, resolve/n discrepancies, and ensure modeling integrity /n - Analyze/n payer agreements to identify revenue opportunities, assess policy and rate/n changes, evaluate financial risk, and recommend contract structure/n improvements /n - Monitor/n contract performance trends, review reimbursement accuracy, and provide/n data-driven insights to support negotiation strategy and long-range/n planning /n - Audit/n shared-risk program performance, prepare ACO analyses, and fulfill/n recurring and ad hoc managed care reporting requests /n - Advise/n on complex contract terms, chargemaster considerations, service line/n financial impacts, and regulatory or privacy implications /n - Collaborate/n cross-functionally with Finance, Revenue Cycle, Decision Support, and/n operational leaders to support forecasting, budgeting, and revenue/n optimization initiatives /n Salary Range: $105,700 – $234,500 annually Qualifications We’re looking for a strategic and analytical managed care/nexpert with: /n - A/n bachelor’s degree in a related field or equivalent combination of/n education and experience (required) /n - A/n minimum of eight years of related experience in hospital and medical group/n financial analysis or managed care contracting (required) /n - An/n advanced degree such as MBA or MPH /n - Professional/n certifications such as HFMA CRCR, CPHQ, or coding credentials including/n CCS or CPC /n - Advanced/n knowledge of managed care contracting principles, reimbursement/n methodologies, and rate structures /n - Strong/n proficiency with EPIC CareConnect and financial modeling platforms such as/n EPSi and Tableau /n - In-depth/n understanding of ICD-10 CM/PCS, HCPCS, CPT, and MS-DRG coding frameworks/n as they relate to reimbursement analysis /n - Expertise/n interpreting commercial HMO/PPO, Medicare, and Medi-Cal reimbursement/n mechanisms /n - Advanced/n analytical and financial modeling skills with strong attention to detail /n - Proven/n ability to lead complex projects independently and communicate insights/n effectively to executive and cross-functional stakeholders /n

Keywords: UCLA Health, Los Angeles , Senior Manager of Managed Care Payer Analytics, Accounting, Auditing , Los Angeles, California