Healthcare Analytics Professional

3 weeks ago


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

At The Center for Orthopedic and Research Excellence, we are seeking a skilled Healthcare Analytics Professional to join our team.

About the Role:

We offer an estimated salary of $25-30 per hour, with a competitive benefits package, including health and welfare benefits, a monthly stipend, HSA with company match, 401k plan after six months of service, and employee assistance programs.

Job Description:

The successful candidate will have a minimum of three years' experience working in an analytic or analyst role in a healthcare environment, with a strong understanding of physician reimbursement. They will possess excellent written and verbal communication skills, critical thinking abilities, and experience working in Excel (advanced formulas, pivot tables).

Key Responsibilities:

  • Analyze financial and operational performance data related to healthcare contracts, identifying areas for improvement.
  • Develop and maintain reimbursement schedules in third-party analytic software.
  • Monitor and trend third-party reimbursement, including denial analysis.
  • Create financial models to analyze data and report efficiently.
  • Support management by providing information, locating data sources, and collecting data under tight time constraints.
  • Identify and 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.
  • Develop reports on payor reimbursement for senior leadership.
  • Provide recommendations to revenue cycle regarding changes in application utilization.
  • Assist in developing training materials and ensure staff receives proper training.

Requirements:

  • High school diploma/GED or equivalent working knowledge preferred.
  • Excellent written and verbal communication, presentation, and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Strong analytical and problem-solving skills.

Benefits:

  • Competitive salary: $25-30/hour.
  • Benefits package, including health and welfare benefits, a monthly stipend, HSA with company match, 401k plan after six months of service, and employee assistance programs.


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