Managed Care-Decision Support Analyst​/Managed Care

Overview

The Managed Care/ Decision Support Data Analyst will focus on improving profitability and operational efficiency through data analysis, contract management, and process optimization. Key responsibilities include mapping and analyzing workflows, implementing process improvement methodologies, automation to streamline processes, and managing projects to enhance efficiency. The analyst will facilitate business initiatives, data analysis and reporting, collaborate with cross-functional internal teams, and ensure business processes are effectively modeled and documented.

Additionally, they will engage with external teams and customers to address business needs, manage payer relationships, and drive the adoption of new technologies. The analyst will play a critical role supporting the professional growth of team members to ensure high performance and alignment with organizational objectives.

• Map and analyze workflows to improve profitability and operational efficiency.
• Implement process improvement methodologies and automation to streamline processes.
• Manage projects to enhance efficiency and support business initiatives.
• Collaborate with cross-functional internal teams and engage external teams and customers to address business needs.
• Analyze data, generate reports, and ensure business processes are modeled and documented.
• Support payer relationships and drive adoption of new technologies.
• Support the professional growth of team members to ensure high performance and alignment with organizational objectives.

• Education & Credentials: Bachelor’s degree in healthcare administration, Finance, Business Administration, Health Informatics, or a related field, with 3-4 years hospital experience.
• 5+ years hospital experience, with experience in any combination of data analysis and reporting, or hospital business experience. Proficiency in database and spreadsheet management required.
• Preferred Master’s degree preferred along with one or more relevant certifications (e.g., CHCRS, CHFP, CRCR, CSAF, CSAPM, CSBI, CSPR, CSPPM, EHRC, FHFMA, Lean or Six Sigma). Within 6 months of Hire.
• Work Experience: Five years of experience in healthcare, with proven ability in process improvement and system implementation. Ability to interpret complex data sets and translate them into actionable insights.
• Preferred Experience in integrated financial/clinical analysis and reporting expertise. With one or more HFMA Healthcare certification(s) (e.g., CHCRS, CHFP, CRCR, CSAF, CSAPM, CSBI, CSPR, CSPPM, EHRC, FHFMA). May allow incument to obtain within 6-9 months of employment.

About Catawba Valley Medical Center. COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY. As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.

Our mission:
Exceptional Healthcare. Every Person. Every Time.

At A Glance:

• North Carolina’s first and only 5-time Magnet recipient for nursing excellence
• Region’s only level III Neonatal Intensive Care Unit (NICU)
• Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years
• American College of Surgeons Accredited Comprehensive Community Cancer Center

HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS. Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.

One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need.

We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.