Health Data Analyst

3 weeks ago

Lubbock, United States UMC Health System Full time

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Job Summary
The Health Data Analyst is responsible for assisting Managed Care Director in developing and implementing strategies to improve managed care net revenue, payor and business relations, and cash collections for University Medical Center and its affiliates.

Reports to:

Job Specific Responsibilities
Daily assignments may include but are not limited to:
• Assist with new and current contracts to increase inpatient and outpatient net revenue
• Assist in negotiating, renegotiating managed care agreements, interacting with payors on contract compliance, and payment issues
• Responsible for standard and as-hoc extracts/reports across multiple data sources
• Assist with Provider credentialing and enrollment
• Maintain data, extract, analyze data and trends to provide business insights based on findings
• Create relevant and user-friendly reports and presentations for internal and external customers
• Provide suggestions on ways to improve payer contracts, quality, and cost effectiveness for the Hospital System
• All other assigned duties as requested by assigned department

Education and Experience
• High School Diploma or GED; Bachelor's degree preferred
• +2 years prior experience working with healthcare data, payors, networks, operations, and senior management

Required Licensures/Certifications/Registrations
N/A

Skills and Abilities
• Proficient in use of Microsoft Office Suite applications, including Access and Excel
• Demonstrated ability to present to small and large audience and explain analytical findings
• Demonstrated ability with data analytics and the ability to generate graphs/reports from analytical results
• Analytical mindset with good problem solving skills in using data
• Good interpersonal skills

Interaction with Other Departments and Other Relationships
Interactions internally with Patient Financial Services (Patient Accounting), Marketing, Financial Counseling, Informations Systems (IT), Compliance, Case Management, Medical Director(s) and UMC Physicians (UMCP). Also interacts externally with Texas Tech Health Sciences Center, TeamChoice, various payors, health plan, and other providers.

Physical Capabilities
Occasionally exerts up to 25 lbs. of force and/or frequently exerts a small amount of force to lift, carry, push, pull, and move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. This position requires frequent typing/keyboarding and some reaching in all directions. Must be available to work 8:00 a.m. to 5:00 p.m. Monday through Friday plus after hours as needed. Be available by pager or cellphone as needed.

Environmental/Working Conditions
This position is subject to inside environmental conditions: protection from weather, but not necessarily temperature changes.

Direct Reports
NA

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.*

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