Healthcare Analytics Specialist

6 days ago


Phoenix, Arizona, United States The Center for Orthopedic and Research E Full time
About The Center for Orthopedic and Research Excellence

At The Center for Orthopedic and Research Excellence, we are dedicated to delivering exceptional care and advancing the field of orthopedics.

Salary Range

$22-25 per hour

Job DescriptionJob Overview

We are seeking a highly skilled Healthcare Analytics Specialist to join our team. In this role, you will play a key part in analyzing data and providing insights to drive business decisions.

Responsibilities
  • Analyze financial and operational performance data related to healthcare contracts, identifying areas for improvement and recommending changes.
  • Provide analysis for Medicaid and other Managed Care products, including HMO, PPOs, and POS products.
  • Create and maintain reimbursement schedules in third-party analytic software.
  • Monitor and trend third-party reimbursement, including denial analysis.
  • Develop financial models to analyze data and report efficiently on existing and new reports.
  • Support management by providing information, locating data sources, and collecting data under tight time constraints.
  • Analyze utilization patterns driving healthcare costs and recommend actions to impact financial performance.
  • Review shared risk claims, capitation, risk pool settlements, and various reports submitted by health plans, submitting discrepancy reports within required time limits.
  • Create reports on payor reimbursement for Senior Leadership.
  • Make recommendations to Revenue Cycle regarding changes in application utilization.
  • Assist in developing training materials and ensure Revenue Cycle staff receives proper training.
  • Extract and query data from multiple sources and systems, compiling data into written and verbal reports and presentations.
  • Develop queries to pull financial/claims data for analytical and statistical models to inform business decisions.
Requirements
  • High school diploma/GED or equivalent working knowledge preferred.
  • Minimum three years' experience in an analytic or analyst role in a healthcare environment with knowledge of physician reimbursement.
  • Experience using relational databases, decision support systems, analysis, and modeling.
Qualifications
  • Excellent written and verbal communication and presentation skills.
  • Strong critical thinking, troubleshooting, and analytical skills.
  • Excellent interpersonal skills.
  • Experience working in Excel (advanced formulas, pivot tables).
  • Well organized and able to meet deadlines.
  • Excellent attention to detail.
Benefits
  • Competitive Health & Welfare Benefits.
  • Monthly $43 stipend towards ancillary benefits.
  • HSA with qualifying HDHP plans with company match.
  • 401k plan after six months of service with company match (part-time employees included).
  • Employee Assistance Program available 24/7.
  • Employee Appreciation Days.
  • Employee Wellness Events.


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