Analyst Modeling & Analysis, Value- Care - Hybrid

Analyst Payment Modeling & Analysis, Value-Based Care - Hybrid page is loaded## Analyst Payment Modeling & Analysis, Value-Based Care - Hybrid locations:
Peak Health Administrative Building - WVUHS Suite 310:
Remote time type:
Full time posted on:
Posted Todayjob requisition :
JR25-23336## Welcome! We’re excited you’re considering an opportunity with us!

To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position.

As a Payment Modeling and Strategic Analyst, you will play a pivotal role in shaping the financial strategies of our organization. The primary focus of this position is to utilize healthcare claim data and reporting to support Payer Relations and Contracting staff with analysis of charges, payments, and contract analysis. The position will analyze data from various sources and systems for both physician and hospital services in order to present reports to key leadership and staff and to recommend and implement solutions to assist in the contract negotiation, management of contract terms, and decision-making process.

Your work will directly impact our ability to provide affordable and high-quality healthcare to our patients.
** MINIMUM QUALIFICATIONS****:
**** EDUCATION, CERTIFICATION, AND/OR LICENSURE:
** 1. Bachelor’s degree in finance, accounting, economics, general business management, information technology/computer science, engineering, health care management or related field
** PREFERRED QUALIFICATIONS****:
***
* EXPERIENCE:

** 1. Familiarity with physician groups and hospitals preferred.
2. Direct experience in data analysis, financial analysis and reporting.
3. Exposure and/or experience in health care management, related contracting field, health care insurance services/industry, hospital finance and/or healthcare consulting preferred.
4. Master’s Degree in a related field or two (2) years of related work experience.
** CORE

DUTIES AND RESPONSIBILITIES:

** The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.
1. Extracts data from various internal and external sources and conducts analysis of revenue for all third-party payer contracts and monitor existing effective payment percentages, in addition to modeling.
2. Utilize data analysis tools and techniques to examine financial data, identify trends, and make data-driven recommendations for optimizing revenue streams and reducing costs
3. Performs data analysis and creates queries, programs and automation related changes in payer contracts or other programs affecting payment.
4. Create financial models and forecasts to predict the financial impact of various payment and reimbursement scenarios, allowing the company to proactively adjust strategies.
5. Provide support and create complex presentations, database and spreadsheets utilizing skills with various programs such as Excel, Access and PowerPoint.
6. Leads data requirements gathering for problem identification, resolution, and solution design.
7. Provides analytical insights from data to drive strategic business decisions.
8. Analyze data from various sources and systems in order to present reports to key management and staff and to recommend and implement solutions to assist in the contracting decision making process.
9. Develops and maintains Price Transparency files to comply with CMS regulation.
10. Conduct market research to understand payment trends, healthcare regulations, and industry best practices, and use this knowledge to inform strategic decisions.
11. Performs analysis and reporting to develop and maintain databases to track and trend incentive based reimbursement and investigate areas of improvement to ensure performance is in line with the organizational strategic plan.
12. Develop strong relationship with accounting contacts and assist in completing and compiling financial support documentation for value-based external audits.
13.…