Healthcare Analytics Professional
3 weeks ago
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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