Sr. Healthcare Information and Data Analyst, Kelsey-Seybold Clinic - Remote

Sr. Healthcare Information and Data Analyst, Kelsey-Seybold Clinic - Remote

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties.

Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

The Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold's product lines and health plans. The HCF Analytics team is a customer service-focused department providing consultation to the KS executive team as well as to select operational and functional departments. The HCF Analytics team works closely with internal and external partners to identify revenue and cost savings opportunities, support new product and business development, ensure regulatory compliance, inform contract negotiations and complete reconciliation of incentive arrangements, claims, capitation, and premium payments with other payers, vendors and/or government entities.

The HCF department is adequately staffed by highly skilled, motivated and inquisitive individuals that deliver complex analysis of financial and utilization data to support revenue enhancement and identify cost savings opportunities. The Senior Analyst provides financial data, reporting and other actionable information to the HCF Management Team and other departments regarding the business units, process, products and/or service lines as directed by the manager.

The Senior Analyst is able to independently identify areas requiring investigation and perform analyses and recommend solutions with little to no guidance. Responsibilities related to this position include:

• Creating/producing financial reports, analysis and financial reconciliations required to understand the key drivers of the relevant business unit or service line
• Helping to develop the systems and processes that are the foundation for reporting and analysis
• Providing analytical support to internal customers including the Central Business Office, Pharmacy Services, Business Planning, Accounting, Managed Care Contracting, Claims, Marketing, and Utilization Management departments and partnering with the Business Intelligence team to automate and improve reporting
• Presenting findings and recommending solutions to internal and external customers and KS Executive team
• Acting as a subject matter and technical expert for more junior analysts

If you are located in Pearland, TX, you will have the flexibility to work remotely
* as you take on some tough challenges.

• 40% Production and analysis of reports and data required to understand the key drivers of the relevant business unit or service line
  • Given analytical project or task data requirements, work independently to access and validate needed data from multiple disjointed data sources
  • Implement appropriate measurement and analytical methods to achieve specified analytical project or task objectives
  • Produce summary, detail and dashboard reports and management summaries that present data findings in a professional, concise, and readable format for content and audience
  • Prepare monthly, quarterly, and annual reconciliations and analyze trends
  • Identify potential problems with analysis assumptions and data quality and apply established quality assurance processes to resolve problems or elevate them as needed
  • Analyze findings and provide actionable insights and recommendations based on analysis and drilldown
  • Develop analyses and models to estimate the impact of different scenarios, assisting in the business decision-making process
• 20% Help to develop and maintain the systems and processes that are the foundation for reporting and analysis
  • Create and maintain documentation of report processes and logic applied in reporting
  • Coordinate with Business Intelligence (BI) team as needed to ensure data warehouses used or maintained by the department are accurate and complete
  • Develop and implement quality assurance procedures to ensure accuracy of project data, results, written reports, and presentation materials
  • Identify opportunities for increased automation of reports and processes and work with department tools or BI to implement
• 10% Contribute to the ongoing development of departmental expertise through participation in team meetings, trainings, and independent research as required
• 10% Manage ad hoc projects of varying complexity and duration while completing routine workload
• 10% Present findings and analysis to HCF Management team, KS Executive team, and internal and external customers. Communicate professionally to provide decision support,…