Financial Analyst​/IRM Analytics

Overview

LifePoint Health Support Center

Description

Responsible for modeling, reporting and analytics related to Managed Care for the hospitals and physician practices. Translate managed care contract terms and model relevant parameters to be properly reflected in all impacted systems.

• Perform “what if” contracting modeling using the new Payment Integrity Compass (PIC) system by translating managed care contract terms and model relevant parameters to be properly reflected in all impacted systems.
• Build out negotiation packet analysis and other ad hoc reporting from the PIC Reporting system.
• Assist in the design, development and implementation of ad-hoc reports for the Managed Care area for both the hospitals and physician practices.
• Created new databases and reporting tools for monitoring, tracking and trending based on project specifications.
• Responsible for creating department tracking mechanisms, handbooks and documentation with input from analysts on the team.
• Translate data and numbers in visual representations of the information and present results to senior management and other key stakeholders.
• Compile and analyze data from multiple systems to facilitate comprehensive views of the managed care business.
• Perform other “what if” contracting modeling using Excel by translating managed care contract terms and model relevant parameters to be properly reflected in all impacted systems.
• Assist on special projects as requested by other senior members of the team.
• Work with IT&S, where needed, on PIC data integrity issues, routine data loads, data audits, etc.
• Establish and maintain relationships with Physician Services team outside of Managed Care
• Attend IRM department meetings, vendor status meetings, education sessions and hospital specific training programs.
• Meet/exceed performance expectations consistently within required time frames.
• Support special projects and business analysis as requested.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement” of the Hospital.
• Adhere to all HSC/Hospital Policies and Procedures
• Perform other duties as assigned, including ad-hoc analysis to understand current yield

(Experience, Education and Special Certifications…) -

• Bachelor's degree in Business or Information Systems or Bachelor's in another field with other financial analyst business experience

N/A

• 1-5 years finance, managed care contracting, or business office claims shop operations experience.
• Strong organizational and analytical skills required.
• Creative problem solver with a high degree of initiative
• Understanding of mechanics of data structures, hospital and physician coding, provider pricing methodologies, payor contracts, consumer analytics, and alternative payment/gain share payment models
• High interest and ability to review large sets of data and perform accurate data 'detective work'
• Excellent written and verbal communication skills
• Excellent PC and people skills. Ability to work effectively with all levels of hospital management, Hospital Support Center, and external vendors
• Strong presentation skills to all audiences including an executive level audience
• Self-motivated, able to work independently and as a team member
• Detail oriented
• Knowledge of HMS, Meditech, McKesson, or PIC are a plus

• Proficient with Microsoft Office products - High level proficiency in Excel required, Access or other query tool experience such as SQL preferred. Ability to work with large datasets in Excel.
• Experience with Reporting and Business Intelligence tools such as Business Objects, Tableau, Qlikview, Microstrategy or Essbase preferred.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requires prolonged sitting and some bending, stooping, and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and…