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Welcome to CommonSpirit Careers

The power of humankindness works here

Revenue Cycle Analyst Managed Care

  • Dignity Health
  • Phoenix, Arizona, Remote
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $29.44 - $43.79 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-459237
Employment Type
Full Time
Department
Patient Financial Services Admin
Hours/Pay Period
80
Weekly Schedule
Monday - Friday 7:00am - 3:30pm
Shift
Day
Remote
Yes
Category
Accounting and Finance

Job Summary and Responsibilities

Responsible for contract management, project management and associated reporting to support internal/external customers and assure compliance with state, federal and other regulatory agency requirements.

Maintains an understanding of the key elements of a payer contracts (commercial, Medicare advantage, Medicaid HMO),  including reimbursement requirements.

Reviews contracts and makes recommendations to ensure standardization and consistency in payer agreements. ∙ Performs audits to validate payer compliance with contracts by using various standard reports, data integrity testing and claimreconciliation payment data. Identifies opportunities and makes recommendations to renegotiate contacts, in order to maximizehospital reimbursement levels.

Performs quality control measures on contract processes, including system setup, claim adjudication and payment reconciliation. ∙ Drafts contract documents and letters to payors.

Models DRG reimbursement, CPT or UB Code based reimbursement and simple and complex contracts. ∙ Updates all necessary elements of the reimbursement summary. Analyzes and researches account(s) for contract interpretation errors or incorrect payments and pursues additional  payment if necessary. Researches payor medical policies for coverage issues or for contract compliance. Organizes and provides data support for all payor issues in anticipation of a payor meetings. Leads payor meetings and ensures that all necessary documents/analysis are provided by deadlines. Researches new types of insurance product offerings through a variety of sources. Obtains and analyzes the various filings by insurance companies to the department of insurance. Prepares monthly variance reports. Reviews monthly contractuals to determine cause of any variances. Prepares the budget/forecast model for contractuals.

Responsible for the Decision Support System generation and analysis of the following:

Detailed Patient Listings

Case Mix / Payor Mix

Expected vs Actual Payments

Data for use in and completion of Project Analysis

Budget Modeling

Net Revenue Modeling

Models all elements of contract for Revenue Cycle Processing

Responsible for maintaining a working knowledge of the following:

Collections and posting process.

Interaction between all aspects of the revenue cycle.

Interaction of the chargemaster, coding and expected reimbursement.

Job Requirements

Associate's degree in Business Administration or related field

4-6 years experience

Five years of experience in a hospital or medical insurance business office setting

An equivalent combination of educationand/orexperience may be considered.

Experience in training and development activities

Preferred:

Experience working with managed care contracts, including contract negotiation and analysis

Electronic Medical Record (EMR) experience preferred; Cerner strongly preferred.

Where You'll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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