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Occupational Health Analyst

3 months ago


Scotts Valley, United States University of California Santa Cruz Full time

**Occupational Health Analyst**

**Location**: Scotts Valley

**Job ID**: 61122

JOB POSTING

**Position open until filled

**HOW TO APPLY**
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**INITIAL REVIEW DATE (IRD)**

The IRD for this job is**: 11-13-2023**

**ABOUT UC SANTA CRUZ**

UC Santa Cruz is a public university like no other in California, combining the experience of a small, liberal arts college with the depth and rigor of a major research university. It's known as an unconventional place where innovation and experimentation is part of the campus's DNA. That playful, bold spirit still thrives today, all on a campus renowned as among the most beautiful in the world.

**DEPARTMENT OVERVIEW**

Risk and Safety Services is comprised of five departments and each of these units is dedicated to maintaining and promoting an aspect of the health and safety of all members of the campus community. Risk and Safety Services provides leadership and coordinates multidisciplinary services to sustain a safe and healthy campus by managing risk, preventing injury and loss, and coordinating access, emergency response, and recovery. Risk Services is a department within Risk and Safety Services, which supports the campus by helping departments identify their risk exposures, recommending strategies to reduce or eliminate identified risks, and administering the campus insurance programs to facilitate maximum recovery from accidental losses. Risk Services encourages and supports a safe, healthy and thriving campus community.

**JOB SUMMARY**

Under the general supervision of the Interim Director Risk Services/Director Occupational Health, the Occupational Health Analyst uses skills as an experienced professional with a full understanding of industry best practices and procedures. The Occupational Health Analyst performs a wide variety of functions in the following areas: registration, appointment scheduling, insurance and billing, and report coordination. The position of Occupational Health Analyst supports a wide range of front office areas and is responsible for the occupational risk report programs.

**APPOINTMENT INFORMATION**

**Budgeted Salary**: $80,300 - $85,900/Annually. Salary commensurate with skills, qualifications and experience.

Under California law, the University of California, Santa Cruz is required to post a reasonable estimate of the compensation for this role. The salary shown above is the budgeted amount the University reasonably expects to pay and the salary extended should not exceed this posted amount.

**Benefits Level Eligibility**: Full benefits

**Schedule Information**:

- Full-time, Fixed
- Percentage of Time: 100%, 40 Hours per Week
- Days of the Week: Mon-Fri
- Shift Includes: Day

**Employee Classification**: Career appointment

**Job End Date**: None

**Work Location**: UC Santa Cruz Main Campus

**Union Representation**: Non-Represented

**Job Code Classification**: ENTERPRISE RISK MGT ANL 3 (007204)

**Travel**: Never or Rarely

**JOB DUTIES**

**50% - Occupational Administration and Billing**
- Manages Electronic Health Record software program. Manages the software updates regarding the Electronic Health Record as applicable.
- Administers highly complex claims billing and monitors payments in employee injury and medical surveillance insurance programs regarding third-party administrators and departments as applicable.
- Prepares third-party billing per industry best practices and the Official Medical Fee Schedule.
- Implements and monitors control strategies and programs involving claim payments. Manages billing process to coordinate with occupational health reports to the third-party claims administrator.
- Liaises with third parties to promptly resolve payment of claims, per organization guidelines,.
- Provides primary reception and service-oriented receiving of customers; directs incoming clients to the appropriate departments; registers and checks in employees for scheduled appointments.
- Provides primary scheduling of medical appointments for employees, manages phone and walk-in appointments; manages rescheduling of appointments as applicable.
- Works directly with and serves as a resource for the interpretation of insurance and billing policies and procedures for applicable program department staff.
- Follows procedures needed to administer the occupational health programs by confirming eligibility for coverage; advising staff of policy and procedure when receiving clinical referrals to receive health care off campus; assists as liaison between the clinician, staff, outside health care provider, and claims processor; as well as explanation of procedures and staff resources.
- Manages scheduled occupational health program timelines in coordination with department and campus stakeholders.
- Obtains authorization from outside and internal providers for specialist referrals to facilitate care.
- Tracks referrals to ensure quality management and facilitates completi