AdventHealth

Underpayment Analyst

AdventHealth

full-time

Posted on:

Location Type: Remote

Location: Remote • Florida • 🇺🇸 United States

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Job Level

Junior

Tech Stack

SQLTableau

About the role

  • The Managed Care Analyst applies technical, analytical, and problem-solving skills to provide solutions/improvements within the department.
  • Responsible for completing financial and/or operational analysis of contracts, developing and tracking key performance indicators, financial modelling comparative analysis and benchmarking.
  • This person demonstrates competencies in decision support and reporting through converting raw data into useful and actionable information.
  • This person is responsible for compiling and analyzing data as well as for creating meaningful applications to support executive decision making.
  • Supports Managed Care leadership in financial modeling.
  • Applies basic understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes.
  • Performs analytical and planning functions in support of Managed Care decision making.
  • Participates in the annual Managed Care revenue budget process.
  • Completes multiple projects in a fast-paced environment within timeframes outlined in the department policies and as specified by Leadership.
  • Demonstrates strong project management and organizational skills by maintaining up-to-date project lists to assist in setting appropriate project priorities.

Requirements

  • Associate Degree
  • 1+ Work Experience
  • Microsoft Office (Excel PowerPoint, Word, Outlook, Visio, etc.)
  • Excellent verbal and written communication skills
  • Excellent problem-solving skills
  • Healthcare information systems (PCON, Cerner, Soarian)
  • Business Intelligence Software (Qlikview, Tableau, SAP, etc.)
  • Data warehousing tools (SQL Server, etc.)
  • Microsoft Visual Basic/Access
  • Financial Reporting and Analysis
Benefits
  • Benefits from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • Mental Health Resources and Support

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
financial analysisoperational analysisfinancial modelingdata analysismedical codingICD-9ICD-10CPTHCPCS IISQL
Soft skills
problem-solvingcommunicationproject managementorganizational skillsanalytical skillsdecision support
Certifications
Associate Degree